Pittsburgh Steelers rookie running back Le’Veon Bell was recently diagnosed with the Lisfranc sprain and had to stay off the field for at least a month. This impacted the Steelers greatly.
What is Lisfranc sprain? It is the sprain of the ligament that helps stabilize the midfoot. The foot is divided into three different regions: forefoot (all the toes, and phalanges), midfoot (3 cuneiforms, cuboid and navicular) and rearfoot (talus and calcaneus). Lisfranc ligament connects the first cuneiform to the base of the second metatarsal which is extremely important to stabilize the midfoot during ambulation. The injury usually occurs after a twist or fall and is commonly seen in football and soccer players. Symptoms to follow after the injury are: SWELLING PAIN, BRUISING both on the top and bottom of the foot, and INABILITY/DIFFICULTY to WALK.
How can Lisfranc injury be diagnosed? X-Ray is great to visualize the morphology of the bones and joint. However, X-Ray cannot help detect any injury to soft tissue structures. Therefore, next step should be utilizing ultrasound. It is cheaper than ordering an MRI however, MRI will be able to give a complete diagnose of all the soft tissue injuries. From the findings, the podiatrist will be able to treat the Lisfranc injury and predict the possible outcome of when to return to play.
How do you treat the Lisfranc injury? If the ligament is the only thing that is torn or split, the patient should be immobilized in the short leg cast or CAM walker for 6 weeks. However, if the bones are involved in the injury, surgery must be considered in order to align the bones and Lisfranc joint.
If you twisted your foot or fell down and suspected injuring your foot, please make an appointment with a podiatrist at Affiliated Foot and Ankle Center in Howell, New Jersey. We are here to help!