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Getting to Grips with Lisfranc Injury Procedures
Published: Mar 19, 2024
Lisfranc injuries can be tricky to diagnose and treat, but knowing the right procedures can make all the difference. Let's explore the steps involved in managing these complex foot injuries.
Diagnosing the Problem
Diagnosing a Lisfranc injury often starts with imaging tests like X-rays. While plain X-rays might not always show the injury, advanced imaging like MRI or CT scans can provide a clearer picture. These tests help doctors understand the extent of the injury and plan the best course of action.
Initial Treatment Steps
Once diagnosed, the initial treatment follows the PRICE-M method: Protection, Rest, Ice, Compression, Elevation, and Medication. This approach helps reduce pain and swelling while protecting the injured foot. In some cases, surgery might be necessary for proper healing.
When Surgery is Needed
Surgery is often required for Lisfranc injuries that involve bone displacement. Surgeons may need to realign the bones and fix them in place with screws or plates. This helps ensure the foot heals correctly and reduces the risk of long-term complications.
Frequently Asked Questions
Through imaging tests like X-rays, MRI, or CT scans.
The PRICE-M method: Protection, Rest, Ice, Compression, Elevation, and Medication.
Surgery is needed if there's bone displacement or severe instability.
Wrapping Up
Proper diagnosis and treatment of Lisfranc injuries are crucial for recovery.
References
- Kuo RS, Tejwani NC, Digiovanni CW, et al. Outcome after open reduction and internal fixation of Lisfranc joint injuries. J Bone Joint Surg Am 2000; 82-A:1609.
- Raikin SM, Elias I, Dheer S, et al. Prediction of midfoot instability in the subtle Lisfranc injury. Comparison of magnetic resonance imaging with intraoperative findings. J Bone Joint Surg Am 2009; 91:892.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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