Lisfranc (Midfoot) Fractures
The Lisfranc joint is where the metatarsal bones – five long bones that connect the toes to other bones and ligaments in the foot – meet the bones that form the arch of the foot. This joint is essential for mobility, including walking, running and jumping.
If one of the bones in this joint breaks or chips, it is called a Lisfranc fracture. This type of fracture often occurs with sprains to the ligaments on the bottom of the foot, which can increase instability of the joint.
Schedule an Appointment
The orthopedic specialists at University Hospitals have the advanced skills and experience to treat all foot and ankle conditions, including Lisfranc fractures. To schedule an appointment, call 216-220-9088 or schedule online.
Common Causes of Lisfranc Fractures
Midfoot fractures are more common in those who participate in sports such as sprinting, running and football. They call also occur as a result of:
- Car accidents.
- Direct force, such as something heavy being dropped onto the foot.
- Indirect force to the midfoot, such as missing a step or tripping off a curb.
Symptoms of a Midfoot Fracture
Injuries to the Lisfranc joint may result in one or more of the following symptoms:
- Swelling and/or bruising on the top of the foot.
- Pain in the midfoot when weight-bearing or when pressure is applied.
- Bruising or blistering on the arch of the foot.
Anyone with symptoms of a Lisfranc injury should be evaluated by a foot and ankle specialist as soon as possible to prevent further damage to the joint. In the meantime, the foot should be kept elevated and iced every 20 minutes to help keep the swelling and pain under control.
Diagnosis & Treatment
An accurate diagnosis of a Lisfranc injury is essential for the right treatment plan. In addition to a physical exam of the foot, your orthopedic specialist will take a medical history and ask for details about how the injury occurred. X-rays and other imaging studies are often necessary to confirm the diagnosis and evaluate the severity of the injury.
Nonsurgical treatments may include:
- Immobilization with a cast or medical boot. The use of crutches may be recommended to avoid placing weight on the injured foot.
- Nonsteroidal anti-inflammatory medications (NSAIDs), such as ibuprofen, to help reduce pain and inflammation.
- Icing. If the foot is not casted, icing the affected area for 10-20 minutes at a time can reduce pain and swelling.
- Elevation. Keep the foot elevated at hip level or above.
- Physical therapy.
In some cases, surgery will be necessary to repair the joint.
Make an Appointment
Our orthopedic experts offer in-person and virtual visits. Call 216-220-9088 or schedule your visit online today.