Lisfranc joint injuries: diagnosis, treatment and recovery in Madrid

Our feet are a vital structure for our lives, as they not only support the weight of our body, but also allow us to perform basic activities such as walking or running. Any injury that affects them can seriously compromise the quality of our life. Therefore, at the first signs of a possible injury, it is crucial to seek medical attention as soon as possible, taking care of their integrity and our well-being.

¿What is the Lisfranc joint?

The Lisfranc joint, also known as the tarsometatarsal joint, is a complex anatomical structure located in the middle of the foot. This structure is composed of the union of the five metatarsal bones with the tarsal bones, creating a connection that is essential for the stability and function of the foot. This joint plays a key role in transmitting forces from the leg to the foot, which is essential for walking, running and maintaining balance.

Because it bears a great deal of weight and stress during daily activities, this joint is exposed to a wide variety of injuries that can have a significant impact on mobility and quality of life.

Common Lisfranc Joint Injuries

Metatarsal joint injuries can vary in severity. Common injuries include:

• Osteoarthritis: This injury is caused by gradual wear and tear of the cartilage in the joint, leading to pain, stiffness and decreased mobility. Osteoarthritis can develop over time due to a previous injury or from repetitive overuse of the joint.
• SprainA Lisfranc joint sprain is caused by a stretching or tearing of the ligaments that stabilize the joint. This injury can be caused by a sudden movement or twisting, and is characterized by pain, swelling, and difficulty bearing weight.
• Dislocation: Tarsometatarsal joint dislocation involves the displacement of the metatarsal bones relative to the tarsal bones. This condition can occur due to severe trauma and usually requires surgical intervention.
• Fracture: Lisfranc joint fractures are serious injuries that may affect one or more bones in the metatarsal or tarsal region. These fractures require immediate and appropriate treatment to avoid complications, such as deformity or loss of function.

¿How do midfoot injuries occur?

Midfoot injuries can occur in a number of ways, usually related to trauma or overloadOne of the most common causes of injury is acute trauma, which can result from sports accidents or falls. A direct impact or blow to the foot can cause significant damage, including fractures or sprains.

Twisting and sudden movements of the foot are also factors that can cause injuries in this area. These events can occur during sports activities or when stepping on uneven ground, and can cause anything from sprains to severe fractures.

In addition, activities that involve a high continuous stress load on the foot can cause overuse injuries. Constant stress can cause microtraumas, which can develop into serious conditions such as osteoarthritis.

Symptoms of tarsometatarsal injuries

Symptoms of tarsometatarsal injuries can vary depending on the severity of the injury, but generally include:

• Pain located in the middle part of the foot.
• Swelling in the affected area that may extend to the foot.
• Bruises or hematomas on the middle part of the foot.
• Difficulty bearing weight or walking.
• Stiffness in the range of motion of the foot.
• In severe cases a visible deformity may occur.

Diagnosis and treatment for Lisfranc injury

Diagnosis of Lisfranc joint injuries requires a physical evaluation of the patient and diagnostic imaging tests, such as X-rays or CT scans, to confirm the presence of fractures or displacement of bones.

The treatment needed will depend on the type of injury and the severity of the injury. In mild cases, a conservative treatment approach is recommended, including rest, ice, elevation, and the use of splints or immobilization to protect the joint. However, in more severe cases, surgery may be necessary.

Lisfranc fracture surgery

Joint surgery is usually indicated in cases where bones or ligaments are severely injured, displaced, or fractured. Depending on the severity of the fracture, the procedure may involve the placement of screws, plates, or pins to hold the bones in place while they heal. In some cases, the doctor may opt for a Lisfranc joint arthrodesis surgery, which eliminates movement between the affected bones to reduce pain and prevent future complications.

¿How long does it take to recover from a tarsometatarsal injury or fracture?

Recovery can vary depending on the type of injury and its severity. In fractures treated with surgery, recovery usually takes between 3 and 5 monthsGenerally, starting 3 weeks after surgery, it is permitted to begin to move the foot and ankle to avoid stiffness. Then, after approximately 5 weeks, light physical activity can be started.

Traumatology clinic in Madrid for tarsometatarsal fractures

When surgery is needed for a fracture or suspected foot injury, it is crucial to go to doctors specializing in traumatology who can provide the best possible treatment. Elgeadi ClinicWe have cutting-edge technology and a team of excellent professionals to ensure an accurate diagnosis and correct treatment of injuries and fractures of the Lisfranc joint.

Do not hesitate to request an appointment with our Foot and Ankle Unit so that we can begin working on your recovery as soon as possible.