Lisfranc Injury – A Missed Diagnosis That Can Cost You Your Foot’s Future Get opinion from Foot Doctor

Shivi Pvt
Jun 26
2 min read

Updated: Sep 29

🦶 Case Handled by Dr. Navroze Kapil – Foot & Ankle Surgeon

📍 Chandigarh | Mohali | ☎ Appointment: 80549 33723

What Is a Lisfranc Injury?

A Lisfranc injury involves damage to the bones or ligaments in the midfoot. This area is where the metatarsal bones connect with the tarsal bones. Often mistaken for a simple sprain, this injury can lead to chronic pain and instability if not treated correctly.

How Do You Get a Lisfranc Injury?

Lisfranc injuries can occur due to various reasons, including:

Twisting injury of the foot (e.g., sports, dance, stepping off stairs)
Road traffic accidents
Falls from height
Direct trauma to the midfoot

Symptoms

Recognizing the symptoms of a Lisfranc injury is crucial for timely treatment. Common symptoms include:

Swelling on the top of the foot
Bruising under the foot (a classic sign)
Inability to bear weight
Pain that worsens with walking or pressure

Our Case

In one case, the patient presented with severe pain and swelling after a road traffic accident. Imaging revealed diastasis between the 1st and 2nd metatarsals, a hallmark sign of a Lisfranc injury.

X-ray Images:

📷 Pre-operative
📷 Post-operative with fixation using plate and screws

Intraoperative Picture:

🔍 Clear visualization of disrupted midfoot anatomy and anatomical reduction with fixation.

Surgical Management

The surgical approach for Lisfranc injuries often involves an open reduction and internal fixation (ORIF). This procedure aims to restore alignment and joint stability. Early surgery ensures:

Restoration of normal foot arch
Prevention of arthritis
Return to pain-free walking

Recovery Process

Recovery from a Lisfranc injury is a gradual process. Key steps include:

Non-weight bearing for 6-8 weeks
Progressive rehabilitation and physiotherapy
Follow-up X-rays to confirm healing

Importance of Early Diagnosis

Early diagnosis is essential for a successful outcome. Many patients may not realize the severity of their injury, leading to delayed treatment. They should consult foot doctor near otherwise this can result in long-term complications. Therefore, it is crucial to seek medical attention if any symptoms arise.

Message from Dr. Navroze Kapil

“Lisfranc injuries are commonly missed but can have lifelong consequences if untreated. High suspicion and early orthopedic intervention make all the difference.”