The tarsometatarsal joint, often called the Lisfranc joint, is located in the middle part of the foot. This joint links the tarsal bones, which are seven bones in the foot, to the metatarsal bones, which are five longer bones in the foot. Problems or changes in this area can happen due to conditions like arthritis or injuries from accidents.
Tarsometatarsal arthritis is characterized by midfoot pain, instability, and challenges in carrying out daily activities. One of the typical signs is the presence of bruises and swelling on the top side of the midfoot. When you visit the doctor, they will first check your foot by looking at it and gently touching it to assess any issues. You may be asked to have an X-ray. In some cases, the doctor might also recommend a CT or MRI scan to learn more about your condition.
In the initial phases of an injury, treatments such as pain relievers, steroid injections, and the use of special footwear or casts can be used. If these non-surgical methods do not provide sufficient relief, surgery to fuse the tarsometatarsal joint is typically advised.
What is a Lisfranc (Midfoot) Fracture?
A Lisfranc injury is a serious condition affecting the midfoot (tarsometatarsal joint)—the area where the long bones of the foot connect to the arch. This joint plays a crucial role in maintaining foot stability and proper walking mechanics.
A Lisfranc injury may involve:
- Fracture of the midfoot bones
- Ligament tear
- Joint dislocation
These injuries can range from mild sprains to complex fractures and must be treated early to avoid long-term complications.
Causes of Lisfranc Injury
Lisfranc fractures usually occur due to:
- Sudden twisting of the foot
- Sports injuries (football, running, etc.)
- Falls or missing a step
- Road traffic accidents
- A heavy object falling on the foot
Even a simple misstep can damage the midfoot if force is applied while the foot is planted.
Symptoms of Lisfranc (Midfoot) Fracture
Common signs include:
- Severe midfoot pain
- Swelling on the top of the foot
- Bruising (sometimes on the sole)
- Difficulty standing or walking
- Inability to bear weight
Ignoring these symptoms can lead to chronic pain, arthritis, or collapse of the foot arch.
Diagnosis
Accurate Diagnosis is critical because Lisfranc injuries are often missed initially.
Doctors may recommend:
- Physical examination
- X-ray
- CT Scan
- MRI Scan
These imaging tests help assess bone alignment, ligament damage, and joint stability.
Treatment Options
Non-Surgical Treatment
For mild or stable injuries:
- Rest, ice, and elevation
- Immobilization using a cast or boot
- Pain medications
- Physiotherapy
Patients are usually advised to remain non-weight-bearing for 6–8 weeks.
Surgical Treatment
For severe injuries (fractures, dislocation, instability):
- Internal fixation (plates & screws)
- Midfoot fusion (in complex cases)
Surgery helps restore proper alignment and prevents long-term complications.
Recovery & Rehabilitation
- Recovery may take 3 to 6 months or longer
- Physiotherapy is essential to regain strength and mobility
- Gradual return to walking and sports activities
Early treatment ensures better outcomes and faster recovery.
Why Early Treatment is Important
Untreated Lisfranc injuries can lead to:
- Chronic foot pain
- Arthritis
- Foot deformity
- Loss of mobility
Timely Diagnosis and expert orthopedic care can prevent these complications.
Lisfranc Fracture Treatment in Jaipur
If you are experiencing midfoot pain or difficulty walking, consult an experienced orthopedic specialist.
Dr. Amit Meena provides:
- Advanced diagnostic techniques
- Minimally invasive surgical options
- Personalized rehabilitation plans
- Complete foot & ankle care
