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Lisfranc question

Discussion in 'Ask your questions here' started by heffergm, May 8, 2019.

  1. heffergm

    heffergm New Member

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    So I'm about four weeks out from the initial injury, which was a fall from a height backwards with a weight on top of me (a bike). The foot planted into the ground and hyperextended forward. The initial x-rays showed a minor avulsion fracture of the talus. My foot/ankle was so bruised that I think any thoughts of lisfranc issues were sort of missed. But four weeks out from the event, my ankle feels quite a bit better, whereas the bottom of my foot is still really bruised and the swelling is by far the biggest issue pain/discomfort-wise.

    The ortho put me in an aircast, but at the time the impression I got was that I could basically start looking to get mobile as soon as I felt up to it: meaning the fracture was stable and the ankle was just ligament damage (sprain). So I had been trying to move around on it a little bit the past few days, but when I started looking into what could be going on with the rest of my foot, and the fact that the bruise pattern seems pretty obviously a lisfranc injury, I stopped doing so.

    If you google image search "lisfranc bruising", my foot looks almost identical to the first result, although not as severely bruised. The pattern is identical (sorry, can't post links as I'm newly signed up).

    So the question is: (1) pretty obviously some sort of lisfranc injury, right? (2) what should the ortho be looking for when I see him next week? Should I push for anything in particular? (MRI, etc)? (3) avoid surgery at all costs?
    Last edited: May 8, 2019
  2. Craig Payne

    Craig Payne Super Moderator

    Stop Googling it! - the pattern of the bruise does not indicate the nature of the injury. A fracture of the talus and a lisfranc injury are two different things.
  3. Cassidy

    Cassidy Member

    My suggestion would be to tell your Surgeon your concerns about the bruising and see what he says and go from there. There are so many different injuries to the foot that you can't say for certain that it is a lisfranc injury on top of the other injuries. Listen to your Surgeon and go from there, and as was said don't Google anymore and ask a true professional what it could be. I have been dealing with a lisfranc that was missed so it is possible, but there are many other explanation including the seen injury that caused the bruising.

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