Lisfranc Fractures

What are Lisfranc fractures?

Lisfranc fractures are a type of fracture that involves the midfoot, specifically involving the bones of the midfoot known as the tarsometatarsal joint. The term “Lisfranc” is derived from Jacques Lisfranc de St. Martin, a French surgeon who first described the injury in 1815.

Lisfranc fractures occur when the metatarsal bones, the long bones in the foot, are fractured or dislocated from the tarsus, the group of bones in the midfoot. These fractures are relatively rare and account for only 1-2% of all fractures.

How do I know I have a Lisfranc fracture?

Lisfranc fractures are relatively rare, but can cause significant disability due to the importance of the midfoot for walking and other activities. The most common symptoms of a Lisfranc fracture is intense, localized pain. This pain may be felt in the midfoot, but can also radiate to the ankle and toes. Swelling and bruising may also appear in the area. Difficulty weight-bearing is another common symptom of a Lisfranc fracture, which can range from mild to severe depending on the severity of the fracture.

People describe the feeling of walking on a “hot coal,” or they may be unable to put any weight on the foot at all. Others may experience a “clicking” sensation when they move the affected foot. Other symptoms may include visible deformity, like a difference in the height of the foot or a noticeable change in the shape of the midfoot. You may experience difficulty flexing or extending the foot, and may have limited range of motion.


What causes Lisfranc fractures?

The most common cause is a direct force to the midfoot, such as a motor vehicle accident or fall. These forces can cause a fracture or dislocation of the joint, as well as damage to the surrounding bones and ligaments. The joint can also be damaged by twisting or overstretching the foot, which can occur in sports or other activities involving sudden changes in directions.

Weak bones or ligaments can also cause Lisfranc fractures, which can be a result of medical conditions like osteoporosis or diabetes. These conditions can cause the bones and ligaments in the midfoot to become weak and more susceptible to injury. Additionally, certain activities can place increased stress on the bones and ligaments of the midfoot, such as running, jumping, or dancing.

How are Lisfranc fractures treated?

The first step in treatment is to assess the severity of the fracture. This is usually done through X-rays, CT scans, or MRIs. Once the severity of the fracture is determined, the treatment plan can be developed. The most common treatment for a Lisfranc fracture is immobilization. The foot will be put in a cast or brace to keep it stable for anywhere from 4-8 weeks. During this time, it is important to give the foot rest and avoid putting any weight on it.

In some cases, surgery may be necessary to treat a Lisfranc fracture, most common when the fracture is severe or if the bones have shifted out of place. Surgery will involve repositioning the bones and stabilizing them with pins, screws, and/or plates, or fusing the joints if needed. Rehabilitation is an important part of the recovery process for a Lisfranc fracture. Following immobilization, you will need to gradually increase activity levels and strengthen the foot muscles through physical therapy, exercise, and stretching. You may need to wear a protective boot or shoe to reduce the risk of further injury while you are healing.

Clients reviews

Dr. Salvatore Gaudino is a miracle worker.  I had problems walking for more than five years, NOT any more.  I went to countless Specialists… One of the luckiest days of my life is when I made an appointment with him!  He is truly amazing.  The great office staff is welcoming.  What a great experience.  Thank you ALL!

Joanne K.

The staff is great, attentive and paperwork is seamlessly handled. Dr Lee is superb, friendly and goes extra steps to resolve the issue whether it’s from foot discomfort or giving insight on products. Lisa is stellar, to the point and promptly processes the  necessary paperwork.

Kenny L.

Dr. Gaudino examined my son and explained to me exactly what he needed to correct his “turned feet”, as well as showing me some exercises to relieve the tension in his feet. He was so nice and caring towards my son, and really made him feel at ease. I would definitely recommend this practice to my friends and family!

Jessica D.

Schedule An Appointment

If you would like more information or want answers to your questions, fill out our form.

This field is for validation purposes and should be left unchanged.