User:Mr. Ibrahem/Lisfranc injury

Lisfranc injury, also known as Lisfranc fracture, is an injury of the foot involving the joints between the metatarsal bones and tarsus bones. Symptoms may include swelling, pain, and bruising of the midfoot. Symptoms are worsened by attempts to walk. Without treatment complications may include arthritis and chronic pain.

The cause may include twisting the foot, such as when playing sports, or more severe injuries such as a fall from heights. Generally it occurs in people without specific risk factors, though those with diabetes are more commonly affected. Diagnosis is by X-ray when weight bearing or CT scan. The diagnosis should be suspected if midfoot pain lasts more than 5 days.

Initial treatment may involved reduction, splinting, and keeping the foot elevated. If the injury is unstable or displaced, surgery in the form of an open reduction and internal fixation is generally recommended. Healing may take months.

Lisfranc injuries are relatively uncommon, representing about 0.2% of fractures. Middle aged males are most commonly affected. It is named after Jacques Lisfranc de St. Martin, a French surgeon who noticed the injury among cavalry in 1815, following the War of the Sixth Coalition.