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Lisfranc Joint Injury

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What is a Lisfranc Joint Injury?

The Lisfranc joint is located between the metatarsal bones (the long bones leading up to the toes) and the tarsal bones (located in the arch). Injuries to this joint can be caused by force to the foot, like a heavy object falling onto it, or twisting the foot. A Lisfranc joint injury is most commonly seen in athletes that play contact sports (like football), horseback riders, and runners.

The injury to the joint itself can be a dislocation, sprain, or fracture.


The symptoms of a Lisfranc joint injury are similar to ankle sprains and include:

  • Swelling
  • Pain located in the midfoot when applying pressure
  • Trouble bearing weight
  • Bruising located on the top of the foot or the arch
  • Widening of the foot
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The first step in treating a Lisfranc injury is to rest the foot, keep it elevated, and use ice to keep the swelling down until you can see your foot doctor. Other treatments include:

  • Casting in order to keep the foot immobile so it can heal
  • Oral medications to reduce pain and inflammation
  • Physical therapy to restore function
  • In some cases, surgery may be necessary to repair the injury
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