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.
Contraception Options for Women and Men Depot Medroxyprogesterone Acetate
Depot medroxyprogesterone acetate is an aqueous suspension of
microcrystals of progestin given by intramuscular injection every 11-13 weeks.
The approved contraceptive formulation has a concentration of 150 mg/mL; a
standard 1-cc dose is administered regardless of patient weight. Immediately
after injection, the site may be tamponaded, but massage must be avoided. Depot
medroxyprogesterone acetate is usually administered within the first 7 days of
the menstrual cycle; if given after that time, the woman should be advised to
use a back-up method for the next 7 days. The first year typical failure rate is
0.25-0.3% with a cumulative 5-year pregnancy rate of 0.9%. Continuation rates
are high due to the high efficacy, convenience, and privacy of the method.
Signs and Symptoms of Hypothyroidism Are you looking for signs and symptoms of hypothyroidism?Hypothyroidism affects two out of every thousand women. It affects about 6-10% of women over the age of 65 and about 2-3% of men.
The most common cause of hypothyroidism is Hashimoto's thyroiditis, a chronic autoimmune destruction of the thyroid. Other causes of hypothyroidism include radioactive iodine, thyroidectomy, thioamide drugs, and iodine ingestion. Transient hypothyroidism can occur in patients with acute thyroiditis.
Malaria Symptoms and Treatment Malaria, one of the common diseases in the world, gets its name from the Italian word for “bad air” because of an ancient belief that a mysterious substance in the air was the cause of the ailment. It is now known that the disease is caused by any of at least four parasites carried by Anopheles mosquitoes. According to the World Health Organization (WHO), malaria causes more than 300 million acute illnesses and at least one million deaths annually. Ninety percent of deaths due to malaria occur in Africa, mostly among young children. The disease was relatively rare in United States until the 1960s, when hundreds of cases began to appear among military personnel who apparently contracted the disease in south east Asia but did not develop symptom until they returned to the United States. The disease later occurred in soldiers who had never left the United States. It was apparently transmitted by domestic Anopheles mosquitoes that had become infested with the malaria parasites.
Enlarged Heart Treatment Enlarged heart Definition
Enlarged heart (cardiomegaly) isn't a disease, but rather a symptom of another condition.
Cyclosporin As we move on, drugs like CellCept and Prograf are replacing cyclosporin, but cyclosporin can take a normal person and give him tophaceous gout in about 24 months. Because it is a causer of renal insufficiency it also inhibits the secretion of uric acid by the kidney and resorption from uric acids, so it is a three-fold toxin in terms of developing gout in patients. It can develop raging tophaceous gout, and one of the problems was is that most patients with renal and heart transplant were on drugs such as Imuran and Cyclosporin, and Allopurinol interact with one another. You have a real difficult time of using Allopurinol on a patient and Azathioprine because of drug interactions and toxicities. These individuals are difficult to treat. Rapid in onset and have severe tophaceous gout.
Symptoms of meningitis in adults Are you looking for symptoms of meningitis in adults?
Meningitis is inflammation of the protective membranes covering the brain and spinal cord, known collectively as the meninges. The inflammation may be caused by infection with viruses, bacteria, or other microorganisms, and less commonly by certain drugs. Meningitis can be life-threatening because of the inflammation's proximity to the brain and spinal cord; therefore the condition is classified as a medical emergency.
Many of the bacteria and viruses that cause meningitis are fairly common and associated with other routine illnesses. Bacteria and viruses that infect the skin, urinary system, gastrointestinal or respiratory tract can spread by the bloodstream to the meninges through cerebrospinal fluid, the fluid that circulates in and around the spinal cord.
Types of Schizophrenia and Symptoms Schizophrenia is a mental disorder characterized by a disintegration of thought processes and of emotional responsiveness. It most commonly manifests as auditory hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking, and it is accompanied by significant social or occupational dysfunction. The onset of symptoms typically occurs in young adulthood, with a global lifetime prevalence of about 0.3–0.7%. Diagnosis is based on observed behavior and the patient's reported experiences.
Sinus infection treatment Are you looking for sinus infection treatment? Sinus infections are caused by infections from a pathogenic microorganism (virus, bacterium, or fungus), which grows within a sinus and causes intermittent blockage of the sinus ostium.
Most people do not transmit sinus infections; most clinicians agree that except for rare instances, sinus infections are not contagious but arise from mainly viruses and bacteria that, by chance, contaminate a person who sinuses support their proliferation because of minor, and rarely, major abnormalities in the person's sinus tissue (for example, swelling, inflammation, abnormal mucus production, and rarely, facial or nasal trauma).
Birth Control Side Effects Long Terms Many of the adverse effects of oral contraceptive use reported
in the older literature were found subsequently to be dose related. As a result,
the incidence of side effects has diminished dramatically as the hormonal
content of the pill has plummeted. In the 1960s, the pill had 150 ug of
mestranol and 10 mg of progestin, whereas modem low-dose formulations have 20-35
ug of estrogen and 1 mg or less of progestin. Side effects reported to occur
with oral contraceptive use include headaches, weight changes, mood changes,
changes in libido, vaginal changes, and gastrointestinal problems. A recent
double-blinded, placebo-controlled study found that the incidence of side
effects with low-dose oral contraceptives was not statistically different from
that of the placebo users. The incidence of weight gain, breast tenderness, and
headache was essentially the same in each group.
Breast Cancer Facts and Statistics Breast cancer is the most common form of cancer in women. There are close to 200,000 new cases of breast cancer a year, and this results in about 47,000 deaths per year, although the mortality has fallen slightly in the 1990s.
The etiology of breast cancer remains unknown but at least two breast cancer genes have been cloned–the BRCA-1 and the BRCA-2 genes. Only about 10% of all breast cancers can be explained by hereditary mutations in these genes. Most of the sporadic cases, the other 90% of the cases of breast cancer, do not seem to have mutations in these genes so there does not seem to be a common pathway gene for both sporadic and hereditary cases.
Basic facts on fats Fat, also called lipid, is a compound made by chemically bonding fatty acids to glycerol to form glycerides. When three fatty acids are hooked to glycerol, the fat compound is a triglyceride. Almost 95% of fat stored in the body is triglyceride, with the remaining 5% consisting of other glycerides and cholesterol. Scientific literature usually refers to triglycerides when it discusses fat. The fatty acids that make up triglycerides can be saturated, monounsaturated, or polyunsaturated.
Chemically, fats are chains of carbon atoms strung together with hydrogen atoms. If it is a saturated fat, the carbon chain carries all the hydrogen atoms it can . If it is unsaturated, there is room in the carbon chain for more hydrogen. If the chain is monounsaturated, there os room for two hydrogen atoms. If it is polyunsaturated, there is room for four hydrogen atoms. If it is highly polyunsaturated, there is room for many more hydrogen atoms.
Enterohaemorrhagic Escherichia Coli EHEC Escherichia coli O157:H7 is an enterohemorrhagic strain of the bacterium Escherichia coli and a cause of foodborne illness. Infection often leads to hemorrhagic diarrhea, and occasionally to kidney failure, especially in young children and elderly persons. Transmission is via the fecal-oral route, and most illness has been associated with eating undercooked, contaminated ground beef, swimming in or drinking contaminated water, and eating contaminated vegetables.
Bones and Muscles The bones of the human body, securely attached together by ligaments, form the skeleton or framework of the body. The body tissue, organs, and systems are located either inside the cavities formed by the skeleton or around it. The skeleton is the framework that holds everything in place. Also it source of attachment for many of the organs.