A Lisfranc (midfoot) injury is a significant injury that often has a prolonged recovery time. Fracture of the midfoot bones and/or disruption of the midfoot ligaments (Figure 1) leads to pain, swelling, and often an inability to weight-bear. During normal standing and walking the ligaments of the midfoot are subject to forces that are 2-3 times body weight.
What is lisfranc injury
The Lisfranc fracture is a fracture of the foot in which one or all of the metatarsals are displaced from the tarsus. It is named after 18th- and 19th-century surgeon and gynecologist Jacques Lisfranc de St. Martin. This type of injury classically occurred when a horseman fell while riding, having trapped his foot in the stirrup or fallen into a drain. At present, such an injury happens typically in activities such as windsurfing (where participants' feet are in foot straps that pass over the metatarsals), or when one steps into a hole and the foot twists heavily. Falling from a height of two or three stories can also cause this fracture. American football players occasionally get this injury, often when they have their foot pointing down and someone lands on their heel.
A Lisfranc injury is initially diagnosed based on the history and description of the athlete’s acute injury. Often an athletic trainer at the practice or competition may see the injury occur in real time and have an immediate suspicion for the injury. The athlete will describe the immediate onset of pain in the midfoot region. There may be difficulty or even an inability to put weight on the injured foot. Over the course of the ensuing day, swelling and bruising often occurs that when serious may even become evident on the bottom of the foot. On a physical exam, the injured athlete will be tender over Lisfranc’s joint and any others involved in the injury. In the most severe of injuries, those that involve a large direct crushing force to the foot, the swelling may be so severe that an emergent evaluation in an emergency room is necessary and possibly even immediate surgery. This is however extremely rare in the setting of athletic injuries.
Lisfranc injury recovery time
Most often the treatment of a Lisfranc injury is surgical, although some minor injuries can be treated conservatively. If there is minimal displacement of the bones, a stiff walking cast applied for approximately eight weeks is an appropriate alternative. However, the more common treatment is to secure the fractured and dislocated bones with either internal (screws) or external (pins) fixation.
Stable Lisfranc injuries that do not require surgery may cause an athlete to miss 2 months or more of their season. However, most athletes are able to successfully return at some point. Those injuries that are unstable, and require surgical repair, are serious injuries that almost always cause the injured athlete to miss the remainder of their season. It is also not uncommon for a high level athlete to not be able to return to the same level of athletic performance even in following seasons. Two well-known examples are Eric Rhett and Duce Staley both of whom had surgery for a serious Lisfranc injury and never successfully returned to their pre-injury form.
Cleanse Diet Oprah dr Oz On August 19, 2009, Harpo, Inc., producers of The Oprah Winfrey Show and The Dr. Oz Show, along with Dr. Mehmet Oz, filed a trademark infringement complaint against 40 Internet marketers of dietary supplements, including acai berry products among others. Neither Ms. Winfrey nor Dr. Oz has ever sponsored or endorsed any acai berry, resveratrol, colon cleanse or dietary supplement product.
Circulation System Function and Information The Heart, Blood, and Blood Vessels
Circulation is better understood if you are familiar with the basic anatomy and function of the heart. The heart consist o cardiac muscle and weighs between 8 and 10 ounces. It is about the size of a fist and lies in the center of the chest. The heart is divided into two halves, or pumps, by a wall (the septum), and each half is subdivided into an upper chamber (the atrium) and a lower chamber (he ventricle). The right heart, or pulmonary pump, receives deoxygenated blood from the tissues and transports it to the lungs so that carbon dioxide can be exchanged for a fresh supply of oxygen. From the lungs, the oxygen-rich blood is sent to the left heart, or systemic pump, so that the oxygenated blood can be transported to all the tissues or the body. Both pumps work simultaneously. The systemic pump carries the heavier workload of the two and thus has a more muscular ventricular wall.
Cochlear Implant Cost Are you looking for Cochlear Implant Cost? A cochlear implant (CI) is a surgically implanted electronic device that provides a sense of sound to a person who is profoundly deaf or severely hard of hearing. The cochlear implant is often referred to as a bionic ear.
As of April 2009, approximately 188,000 people worldwide had received cochlear implants; in the United States, about 40,000 adults and over 30,000 children are recipients. The vast majority are in developed countries due to the high cost of the device, surgery and post-implantation therapy. A small but growing segment of recipients have bilateral implants (one implant in each cochlea).
How is an endometrial biopsy done An endometrial biopsy is often done in the doctor’s office, usually without anesthesia. Although the procedure is quickly accomplished, it is painful.
If a physical does not have nitrous oxide available in his or her office, the patient can be given strong pain pills to use before coming to the office. A paracervical block can be also be used.
Birth control recall due to packaging error Qualitest Pharmaceuticals is recalling multiple lots of birth-control pills because of a packaging error that could lead to incorrect dosing and unintended pregnancies.
The company says the error caused the weekly tablet orientation to be reversed and obscuring the lot number and expiration date on certain packages. The problem could lead to inadequate contraception if women don't get the proper daily regimen of the drug.
Major Risk Factors for Heart Disease That Cannot be Changed Age
Approximately 55% of all heart attack occur in people who are 65 years of age or older. This age group accounts for more than 80% of the fatal heart attacks.
Until recently, the incidence of coronary heart disease among women has been largely unexplored. Men have been the primary subjects in the coronary heart disease and risk factor studies because of the high incidence of both among men. However, coronary heart disease is also the leading cause of death and disability among women, accounting for almost 250,000 deaths annually. Women have less heart disease than men, particularly before menopause. The reasons for the difference include the following :(1) the female hormone estrogen protects the coronary arteries from atherosclerosis and (2) women have higher circulating levels of high-density lipoprotein (HDL) cholesterol, which also protects the arteries. After menopause, though, the heart attack rate among women increases significantly until the mid-60s, when women's risk is equal to that of men the same age.
What are Liver Disease Symptoms Liver disease (also called hepatic disease) is a broad term describing any single number of diseases affecting the liver.Hepatitis, inflammation of the liver, caused mainly by various viruses but also by some poisons (e.g. alcohol), autoimmunity (autoimmune hepatitis) or hereditary conditions. Diagnosis is done by checking levels of Alanine transaminase
Non-alcoholic fatty liver disease, a spectrum in disease, associated with obesity and characterized as an abundance of fat in the liver; may lead to a hepatitis, i.e. steatohepatitis and/or cirrhosis.
Syphilis types symptoms and treatment Syphilis, the other well-known sexually transmitted disease, is also caused by a bacterial organism, the spirochete known as Treponema pallidum. Because it s extremely delicate and dies readily upon exposure to air, dryness, or cold, the organism is generally transferred only through direct sexual contact. Typically, this means contact between sexual organs during intercourse, but in rare instances, the organism enters the body through a break in the skin, through deep kissing in which body fluids are exchanged, or through some other transmission of body fluids.
HCG Diet Plan Phase 1 Are you looking for HCG Diet Plan Phase 1? The Homeopathic HCG diet plan does not need to be mixed. Drops are taken 3 times per day, typically preceding breakfast, lunch and dinner. Do not eat or drink anything 15 minutes before or after taking HCG drops. Using the oral syringe provided, drop .38 ml of HCG under your tongue and hold for at least 15 seconds before swallowing. Keep dropper very clean. You can carry your HCG drops and HCG diet plan with you throughout the day, but it's best to keep it in a cool, dark place. If you're at home, the fridge is best. Note: taking more than the recommended dosage from the HCG diet plan could result in depleting of drops before the 26 or 40 days are finished.
Open heart surgery Are you looking for about open heart surgery? Open heart surgery is a surgery in which the patient's heart is opened and surgery is performed on the internal structures of the heart. It was soon discovered by Dr. Wilfred G. Bigelow of the University of Toronto that the repair of intracardiac pathologies was better done with a bloodless and motionless environment, which means that the heart should be stopped and drained of blood. The first successful intracardiac correction of a congenital heart defect using hypothermia was performed by Dr. C. Walton Lillehei and Dr. F. John Lewis at the University of Minnesota on September 2, 1952. The following year, Soviet surgeon Aleksandr Aleksandrovich Vishnevskiy conducted the first cardiac surgery under local anesthesia.
Retrograde uterus pregnancy and fertility What is retrograde uterus definition?A retroverted uterus (tilted uterus, tipped uterus) is a uterus that is tilted backwards instead of forwards. This is in contrast to the slightly "anteverted" uterus that most women have, which is tipped forward toward the bladder, with the anterior end slightly concave.
Between 1 in 3 and 1-in-5 women (depending on the source) has a retroverted uterus, which is tipped backwards towards the spine.
Scarlet fever rash picture, symptoms and treatment Scarlet fever (sometimes referred to as scarlatina) is an infectious disease characterized by fever, sore throat (pharyngitis), and a characteristic rash. Scarlet fever is caused by an infection with group A Streptococcus, the same bacteria responsible for causing "strep throat" and various other skin infections (for example, impetigo and erysipelas). Scarlet fever is predominantly a childhood disease occurring in children 2-10 years of age, though it can less commonly occur in older children and adults. The incidence and mortality rates associated with this once feared disease have significantly decreased due to the introduction and widespread use of antibiotics.