Is there always bruising with a Lisfranc injury?

The common symptoms of a Lisfranc injury are swelling and pain on the top of the foot near the instep. Bruising is common, and a bruise on the bottom of the foot can be a clue that this injury has occurred. With a severe injury, the foot may be distorted and putting any weight on it may be very painful.

What are common signs and symptoms of a Lisfranc injury?

What are the symptoms of a Lisfranc joint injury?

  • Pain in your midfoot, especially sore to the touch.
  • Swelling or deformity in the middle region of your foot.
  • Inability to put weight on your foot.
  • Bruising in the middle of your foot.

How do you assess Lisfranc injury?

Specific things your doctor will look for include:

  1. Bruising along the bottom of your foot.
  2. Tenderness to pressure (palpation) along the midfoot.
  3. Pain with a stress examination of the midfoot.
  4. Pain with a “piano key” test.
  5. Single limb heel rise.

Can you walk on a Lisfranc injury?

Complications May Develop If You Do Not Get Medical Care Do not deem a painful, swollen, and bruised foot as an injury you can “walk off.” Injuries to the Lisfranc joint can cause severe damage to the cartilage in the midfoot if left untreated.

What does a Lisfranc fracture feel like?

Symptoms of a Lisfranc fracture depend on the severity of the injury. Common symptoms include tenderness and swelling at the site of injury and the top of your foot. You may also have pain that gets worse when you walk or stand. Bruising can occur on both the top and bottom of your foot as well.

What type of swelling is indicative of a Lisfranc injury?

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 are important signs of a Lisfranc injury.

What happens if a Lisfranc injury goes untreated?

If overlooked or not treated correctly, Lisfranc joint injuries frequently result in chronic pain and functional loss due to residual ligamentous instability, deformity, or/and arthritis; osteoporosis also may occur because of long-term antalgic gait without weight-bearing.

When should you suspect a Lisfranc injury?

Since Lisfranc joint fracture–dislocations and sprains carry a high risk of chronic secondary disability,2 physicians should maintain a high index of suspicion for these injuries in patients with foot injuries characterized by marked swelling, tarsometatarsal joint tenderness and the inability to bear weight.

What does a torn Lisfranc ligament feel like?

What is Lisfranc Orif?

Tarso-metatarsal (Lisfranc) injuries may be caused by direct or indirect forces. Direct forces include a crush injury (MVA or industrial) or a direct blow. These may be combined with soft-tissue injury and present as open fractures.