This manipulation puts pressure on the midfoot and will produce pain if there is an injury in the area. A person may notice pain from even a slight injury here, which can help doctors know what to look for in imaging tests.Ī doctor may also check for midfoot injury by holding the toes and moving them up and down, to check for pain. Doing so puts significant stress on the midfoot. In simple cases, doctors may ask the person to stand on the tiptoes of their injured foot. The doctor will probably also gently bend and twist the front of the foot to check if a person feels pain in their midfoot. A Lisfranc injury will cause tenderness and pain surrounding the area that has been damaged. Bruising can be a sign of a ligament tear, blunt trauma, sprain, or fracture.ĭoctors may also gently squeeze different areas in the midfoot. Bruising can help indicate where on the foot the injury has occurred. Share on Pinterest A physical examination may be performed to help diagnose and treat the Lisfranc fracture properly.Īfter discussing the injury and how it happened, a doctor will often do a physical examination of the injured foot.įirst, a doctor may look for signs of bruising. If the injury is not treated properly, it can lead to increased damage to the cartilage and excessive stress on the other midfoot joints. Lisfranc fractures also tend to damage the cartilage between the midfoot joints. bruising on the top or bottom of the footīruising on the bottom of the foot is an indication of a Lisfranc injury, but bruising does not occur in every case.Ī Lisfranc fracture can range from simple to extremely complex, and the symptoms may vary from mild to severe.inability to walk without an aid, such as crutches.pain that worsens when standing or walking.a swollen and painful foot, especially on the top.This is why it is very important to have any foot injury properly diagnosed.Ĭommon symptoms of Lisfranc injuries include: Symptoms of Lisfranc fractures may appear similar to many other foot injuries. This type of injury is relatively rare and can sometimes be misdiagnosed.Ī Lisfranc fracture can cause serious complications if it does not heal properly. Image credit: James Heilman, MD, (2009, May 26).Ī Lisfranc injury can occur in the bones, joints, or ligaments of the Lisfranc joint complex in the middle foot. Share on Pinterest Lisfranc fractures are commonly diagnosed using imaging techniques.
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