A lot of attention is given to both the forefoot and hindfoot areas of the foot. Many different conditions affect your toes, heels, and ankles, but it is important not to forget about the midfoot. This region of the foot connects both the front and back sections, while also supporting and forming the foot arches which assist you in walking and supporting bodyweight.
Several potential injuries can happen in the area, including midfoot bone fractures. To help you better understand these injuries, and know when it’s time to come to Richardson Podiatry Associates for treatment, let’s take a look at fractures that can be sustained in the midfoot.
Perhaps the best place to start is with the anatomy of the area. Specifically, we are going to look at something known as the Lisfranc joint complex. The Lisfranc complex is comprised of five tarsometatarsal (TMT) joints, mostly held in place by ligaments stretching both down and across the foot. (The exception to this is the first metatarsal, which is not connected to the second.)
This complex connects the midfoot and forefoot, and can be visible by the arch it forms on the top of the foot. Its bones and connective tissues are susceptible to various injuries, including fractures.
Lisfranc Injury Symptoms
In addition to fractures, you can also have a sprain or dislocation in this joint complex. This is worth noting because all three injuries have overlapping symptoms. In most cases, a midfoot injury will be accompanied by:
- Swelling and pain in the top of the foot.
- Bruising in both the top and bottom of the affected foot, with bruising on the bottom being particularly indicative of a Lisfranc injury.
- Pain from either walking or standing which worsens over time.
When you experience any of these symptoms, especially following a physically traumatic incident (auto accident, sports injury, etc.), schedule an appointment with our Richardson, TX office so we can properly diagnose the injury and provide the treatment and care you need.
Lisfranc Fracture Treatment
The treatment we use for Lisfranc injuries depends on their severity. In the case of fractures, surgery is often recommended. Bones in the Lisfranc joint complex play an integral role in the anatomy and function of the foot, and the trauma necessary to break them can shift them out of normal positions. We can use surgical procedures to restore normal alignment and stabilize the affected foot.
Surgery is typically performed on an outpatient basis and uses general anesthesia. Most patients require at least one incision on the top of the foot, but a second one might be necessary depending on the injury’s severity. The actual procedure we perform often entails repositioning bones and then securing them in place with screws and plates, but sometimes we use fusion surgery. Of course, we will carefully discuss the details of your procedure beforehand and make sure you know what to expect.
After surgery, it is important to keep weight off the area for an extended time period. You will likely be prescribed medication for pain management and expected to keep the foot elevated as often as possible. After a couple of weeks, we will remove the sutures and provide a boot or cast. You should keep weight off the foot for up to eight weeks following the surgery, and then you may need a walking boot or cast for up to another month-and-a-half. Physical therapy also plays a major role in rehabilitation.
As with any bone fractures, a broken midfoot bone needs to be stabilized for optimal healing and recovery. Given the common symptoms between the various types of Lisfranc injuries, it is essential to come see Dr. Gene Reister and his team here at Richardson Podiatry Associates for an accurate diagnosis. After Dr. Reister has confirmed the fracture, he will provide the care you need for the broken bone.
For more information on midfoot bone fractures or the foot and ankle services offered at our Richardson, TX podiatrist office, give us a call at (972) 690-5374. If you’d prefer to see us in person or know you are in need of medical care, you can schedule your appointment over the phone or take advantage of our online form to request one today.