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A Lisfranc injury, also known as Lisfranc fracture, is an injury of the foot in which one or more of the metatarsal bones are displaced from the tarsus. [1] [2]The injury is named after Jacques Lisfranc de St. Martin, a French surgeon and gynecologist who noticed this fracture pattern amongst cavalrymen in 1815, after the War of the Sixth Coalition.
The Lisfranc ligament is injured or disrupted in the Lisfranc fracture. Trauma to the midfoot is caused by direct and indirect impact forces. Direct force involves an object landing on the surface on the foot. Indirect force involves twisting of the foot, usually an impact to the heel while the foot is pointed down toward the ground. [4]
In runners, march fracture occurs most often in the metatarsal neck, while in dancers it occurs in the proximal shaft. In ballet dancers, fracture mostly occurs at the base of the second metatarsal and at Lisfranc joints. This fracture always occurs following a prolonged stress or weight bearing, and the history of direct trauma is very rare.
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Physical therapy can be used to assist reconstruction and use of injured ligaments and tendons. Torn ligaments or tendons typically require surgery. [25] Skeletal muscles are abundant in the body and commonly injured when engaging in athletic activity. Muscle injuries trigger an inflammatory response to facilitate healing.
Jacques Lisfranc de St. Martin (12 April 1787 in Saint-Paul-en-Jarez – 13 May 1847) was a pioneering French surgeon and gynecologist. He pioneered a number of operations including removal of the rectum , lithotomy in women, and amputation of the cervix uteri .
Lisfranc may refer to: Jacques Lisfranc de St. Martin (1787–1847), French surgeon and gynecologist; Lisfranc injury; Lisfranc joint; Lisfranc ligament
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