Problemas de Pie en Español

• Artritis Reumatoide en el Pie y Tobillo
• Biopsia de Tejida Blando
• Buniones (Juanete)
• Coalición Tarsal
• Complicaciones Diabéticas y Prevención de Amputaciones
• Curación de Los Huesos
• Dedo Cruzado
• Dedo en Martillo
• Deformidad de Haglund
• Diabeticas: Estatisticas Alarmantes
• Disfunción de Tendón Tibial Posterior
• Dolor de Talón
• Dolor de Talón Infantil
• Ejercicios de Elongación
• El Dolor Crónico de Tobillo Lateral
• Enfermedad Vascular Periferica (PAD)
• Equinismo
• Esguince de Tobillo
• Fibroma Plantar
• Fractura de Estrés
• Fracturas de Los Dedos Del Pie
• Fracturas de Tobillo
• Fracturas del Calcáneo (Fracturas del Hueso del Talón)
• Fracturas del Quinto Metatarsiano
• Gota
• Hallux Rigidus
• Heridas Por Punción
• Inestabilidad Crónica de Tobillo
• Inicio de Drenaje Siguiendo Los Pasos de Absceso Infectado
• Inflamación Aguda
• Instrucciones par el Cuidado de Heridas
• Instrucciones Para Muletas
• Juanetes de Sastre
• Lesión del Domo Talar
• Lesiones de Lisfranc
• Lesiones del Tendón Peroneo
• Lesiones en un Hueso Sesamoideo del Pie
• Melanoma Maligno del Pie
• Necesito un Examen Para PAD?
• Neuroma de Morton
• Neuropatía Diabética Periférica
• Osteoartritis del Pie y el Tobillo
• Pie Cavo (Pie de Arco Alto)
• Pie de Atleta
• Pie de Charcot
• Pie Diabético
• Pie Plano Flexible
• Pie Plano Pediátrico
• Que Usted Espera con el Tratamiento de Acido par Alas Verrugas
• Que Usted Espera Por Las Inyecciones de Esteriodes
• Quiste de Ganglio
• Ruptura del Tendón de Aquiles
• Síndrome del Hueso Trigono
• Síndrome del Navicular Accesorio
• Síndrome del Túnel Tarsiano
• Tendinitis de Aquiles
• Terapia con Onda de Choque Extracorporea (ESWT)
• Trastornos Comunes del Tendón de Aquiles
• Trombosis Venosa Profunda
• Uña Encarnada del Dedo del Pie
• Uña Infectada Por Hongos
• Verruga Plantar (Verruca Plantaris)

The Lisfranc Joint

What is The Lisfranc Joint?

The Lisfranc joint is the point at which the metatarsal bones (long bones that lead up to the toes) and the tarsal bones (bones in the arch) connect. The Lisfranc ligament is a tough band of tissue that joins two of these bones. It is important for maintaining proper alignment and strength of this joint.

How do Lisfranc Injuries Occur?

Injuries to the Lisfranc joint most commonly occur in automobile accident victims, military personnel, runners, horseback riders, football players, and participants of other contact sports. Lisfranc injuries occur as a result of direct or indirect forces to the foot. A direct force often involves something heavy falling on the foot. Indirect force commonly involves twisting the foot. This can happen, for example, when the foot catches on a stirrup while falling from a horse.

What are the Types of Lisfranc Injuries?

There are three types of Lisfranc injuries, which sometimes occur together:

1. Sprains. The Lisfranc ligament, as well as other ligaments on the bottom of the midfoot, is stronger than the ligaments on the top of the midfoot. Therefore, when they are weakened through a sprain (a stretching of the ligament), patients experience instability of the joint in the middle of the foot.
   
   
2. Fractures. A break in a bone in the Lisfranc joint can be either an avulsion fracture (a small piece of bone is pulled off) or a break through the bone or bones of the midfoot.
   
   
3. Dislocations. The bones of the Lisfranc joint may be forced from their normal positions.
   
   

What are the Signs and Symptoms?

The signs and symptoms of a Lisfranc injury may include:

• Swelling of the foot
• Pain throughout the midfoot when standing or when pressure is applied
• Inability to bear weight (in severe injuries)
• Bruising or blistering on the arch, this is an important sign of a Lisfranc injury. Bruising may also occur on the top of the foot.
• Abnormal widening of the foot.
  
  

How is a Lisfranc Injury Diagnosed?

Lisfranc injuries are sometimes mistaken for ankle sprains, making the diagnostic process very important. To arrive at a diagnosis, Dr. Neuhaus will ask how the injury occurred. Dr. Neuhaus will examine the foot and determine the severity of the injury. X-rays and other imaging studies, such as a CT or MRI, may be necessary to fully evaluate the extent of the injury. Dr. Neuhaus may also perform an additional examination while the patient is under anesthesia to further evaluate a fracture or weakening of the joint and surrounding bones.

What is the Recommended Treatment?

Anyone who has symptoms of a Lisfranc injury should see Dr. Neuhaus right away. If unable to do so immediately, it is important to stay off the injured foot, keep it elevated (at or slightly above hip level), and apply a bag of ice wrapped in a thin towel to the area every 20 minutes of each waking hour. These steps will help keep the swelling and pain under control.

Treatment by Dr. Neuhaus may include one or more of the following, depending on the type and severity of the Lisfranc injury:

• Immobilization. Sometimes the foot is placed in a cast to keep it immobile, and crutches are used to avoid putting weight on the injured foot.
• Oral medications. Nonsteroidal anti-inflammatory medications (NSAIDs), such as ibuprofen, help reduce the pain and inflammation.
• Ice and elevation. Swelling is reduced by icing the affected area and keeping the foot elevated, as described above.
• Physical therapy. After the swelling and pain have subsided, physical therapy may be prescribed.
• Surgery. Certain types of Lisfranc injuries require surgery. Dr. Neuhaus will determine the type of procedure that is best suited to the individual patient. Some injuries of this type may require emergency surgery.
  
  

What are Possible Complications of Lisfranc Injuries?

Complications can and often do arise following Lisfranc injuries. A possible early complication following the injury is compartment syndrome, in which pressure builds up within the tissues of the foot, requiring immediate surgery to prevent tissue damage. A build-up of pressure could damage the nerves, blood vessels, and muscles in the foot. Arthritis and problems with foot alignment may develop. In most cases, arthritis develops several months or longer following a Lisfranc injury, requiring additional treatment.