Lisfranc news and links

A somewhat random collection of links to news stories and resources related to Lisfranc injuries (a severe injury to the midfoot). Compiled by Brad --email: "biddle at cox dot net".

Saturday, January 06, 2007

New journal article

A relatively new journal article, abstract here:

Am J Orthop. 2006 Aug;35(8):376-85.
Lisfranc joint injuries: diagnosis and treatment.
Hunt SA, Ropiak C, Tejwani NC.
New York University Hospital for Joint Diseases, New York, NY 10016, USA.

Injuries to the tarsometatarsal or Lisfranc joint, though rare, are often undiagnosed or inadequately treated, resulting in poor long-term outcomes. Clinical and radiographic data are needed to recognize and treat these injuries for optimal outcomes. In this article, we review the anatomy, biomechanics, injury mechanisms, clinical presentation, radiographic evaluation, injury classification, treatment, outcome, and complications of Lisfranc joint injuries.
PMID: 16983869 [PubMed - indexed for MEDLINE]

Monday, November 27, 2006

More on lisfranc recovery times

"...conservative treatment is highly successful for grade 1 and 2 injuries but can take up to 6-9 months for complete healing even when the diagnosis is promptly established and appropriate treatment is initiated. Grade 3 and 4 injuries, if ORIF’d and appropriately protected post operatively, can take up to one year to heal...." Some other interesting discussion here as well.

Saturday, November 18, 2006

New study

From http://www.ejbjs.org/cgi/content/full/88/11/2545:

... The patients who had been managed with a primary arthrodesis estimated that their postoperative level of activity was 92% of the preinjury level, whereas those in the open-reduction group estimated that their postoperative level was only 65% of the preoperative level, leading the authors to conclude that primary stable arthrodesis of the medial two or three rays yields a better short and intermediate-term outcome than does open reduction and internal fixation of ligamentous Lisfranc joint injuries....

Ly TV, Coetzee JC. Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation. A prospective, randomized study.J Bone Joint Surg Am .2006; 88:514 -20.[Abstract/Free Full Text]

Football players

[updated 01/06/07]

A number of professional and college football players have had Lisfranc injuries; in some cases the injury has been career-ending. Here's a partial list:

2006:
Lions running back Kevin Jones
Giants defensive end Michael Strahan
Giants defensive end Justin Tuck
Packers wide receiver Robert Ferguson
Bears safety Mike Brown
Seahawks safety Mike Green
U. Washington quarterback Isaiah Stanback

2005:
Eagles tight end Chad Lewis (article mentions an "extensive rehabilitation process that lasted nearly 10 months" and notes that he was awarded a 'Courage' award by his teammates in connection with his recovery. Also, article here mentions Lewis and several others below.)
Eagles running back Brian Westbrook
Lions linebacker Teddy Lehman (and here ["That injury, I think 50% of the people that get it don't play anymore...."])
U. Wisconsin guard Randy Gyllin
U. Nevada defensive end J.J. Milan ("Despite dealing with writhing pain in his foot and shin, Milan returned to the field [in 2006]. Nine months of rehabilitation and pain that often drove him to tears couldn't keep him away.")

2004:
Vikings tackle Mike Rosenthal [interesting rehab case study here]
Patriots cornerback Ty Law
Browns defensive end Courtney Brown
Cowboys tight end Dan Campbell ("Campbell still feels pain in his foot every morning. He has to limp around for a while, but once he's warmed up, he's fine. He no longer feels it on the field. ")

2003:
Eagles safety Brian Dawkins
Giants cornerback Will Allen
Rams cornerback James Whitley
LSU quarterback Matt Mauck ("The rehab process was slow, arduous and painful. Self-doubt about his future crept in as Mauck did every rehab drill imaginable....")

2002:
Seahawks linebacker Chad Brown
Bears defensive tackle Ted Washington

2001:
Eagles running back Duce Staley
Seahawks lineman Pete Kendall

2000:
Browns running back Errict Rhett (career ending)

1990:
Giants quarterback Phil Simms

Friday, November 17, 2006

Good overview material

American Academy of Orthopaedic Surgeons on Lisfranc:
http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=315&topcategory=Foot

eMedicine article:
http://www.emedicine.com/Orthoped/topic511.htm

Some recovery anecdotes

Some anecdotal tidbits on the long term prognosis issue: a columnist from a Philly-area paper writes about his Lisfranc injury here; among other things he notes: "It's been nearly two years since the accident that caused the injury, and while my foot is sometimes cranky and sore, I'm able to walk on it normally and run three miles a day."

Also, a Canadian mountain biker writes about his "long year" of recovery here. He notes that he is now able to ride even difficult trails, but notes "pain after a long day of hiking."

Saxena article

Lots of data re recovery times...

TRAUMA TO LISFRANC'S JOINT: AN ALGORITHMIC APPROACH
http://straws.com/a_lisfra.htm

Personal stories

For personal stories and shared experiences from folks with Lisfranc injuries, you can't beat the message boards at SteadyHealth.com.

One long thread starts here; and a "Part II" of the same thread starts here.

My Lisfranc story is buried in there, on page 4 of the Part II thread, under the username "MyLeftFoot".