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.
Acute Leukemia Prognosis, Symptoms and Treatment Acute Leukemia is neoplastic disorders characterized by proliferation of immature hematopoietic
precursor cells in the bone marrow, and later in the peripheral blood and
other organs and tissues. If untreated, death usually occurs within six months
of diagnosis. Increase risk is associated with the following:
Campomelic Dysplasia Treatment, Pictures and life expectancy Camptomelic dysplasia is a genetic disorder, camptomelic or campomelic refer to the bowing of the femur and tibia, (campto meaning bent and melia refers to the limbs) commonly seen in this disorder.
A mutation in the gene coding for the transcription factor Sox9, localized to chromosome 17, results in camptomelic dysplasia, which is marked by anomalies of the ribs and vertebral column and bowing of the long bones. Sox9 controls transcription of Type II collagen and the proteoglycan aggrecan, and is also related to sex reversal. Genetically male (XY) individuals appear phenotypically female, because SOX9 is not able to fulfill its role in sex determination (testis development).
Treatment of heart failure due to systolic dysfunction A. Treatment of the underlying cardiac disease
Hypertension is the primary cause of HF in many patients.
Angiotensin converting enzyme (ACE) inhibitors, beta
blockers, and angiotensin II receptor blockers (ARBs) are
the preferred antihypertensive agents because they improve
survival in HF. Beta blockers can also provide anginal relief
in ischemic heart disease and rate control in with atrial
Renovascular disease. Testing for renovascular disease is
indicated if there is severe or refractory hypertension, a
sudden rise in blood pressure, or repeated episodes of flash
Ischemic heart disease. Coronary atherosclerosis is the
most common cause of cardiomyopathy, comprising 50 to
75 percent of patients with HF.
a. All patients with documented ischemic heart disease
should be treated medically for relief of angina and with
risk factor reduction, such as control of serum lipids.
b. Myocardial revascularization with angioplasty or bypass
surgery may improve exercise capacity and prognosis in
patients with hibernating myocardium. Revascularization
should also be considered for repeated episodes of acute
left ventricular dysfunction and flash pulmonary edema.
Valvular disease is the primary cause of HF 10 to 12 percent.
Other causes of heart failure: Alcohol abuse, cocaine
abuse, obstructive sleep apnea, nutritional deficiencies,
myocarditis, hemochromatosis, sarcoidosis, thyroid disease,
and rheumatologic disorders such as systemic lupus
Backache Symptoms, Treatment and Prevention A backache is generally a gripping pain near the inward curve of the back above the base of the spine. It is one of the most common physical ailments, affecting about 80 percent of the population at some time in their lives.
Pain results from a variety of causes. Strains are especially under exercised back muscles perform beyond their normal capacity. The muscles will then contract or go into spasm and become a tight mass of tissue. Meanwhile, the body transmits a sharp pain signal as nearby muscles tighten in an effort to protect strained muscles and prevent further damage. Strain of back muscles can be due to participation in a sport, a sudden jerking motion (such as a car braking), or reflex actions like sneezing.
Concussion Symptoms and Treatment Concussion is an injury to the brain, caused by a violent jar or shock, such as a blow to the head. The force of the shock causes the brain to strike against the inside of the skull, producing temporary brain swelling and malfunctioning and often loss of consciousness. The shock may even be strong enough to cause cerebral contusion (bruising of brain tissue), cerebral hemorrhage (bleeding between covering of the brain and the skull or inside the brain covering), or formation of a hematoma (collection of clotted blood).
Diabetes Mellitus Type 2 Diabetes mellitus, often simply referred to as diabetes—is a group of metabolic diseases in which a person has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced. This high blood sugar produces the classical symptoms of polyuria (frequent urination), polydipsia (increased thirst) and polyphagia (increased hunger).
Dysthymic Disorder Symptoms and Treatments Depressed mood is present for most of the day, for more days than it is not present, and depression has been present for at least two years.
Presence of at least two of the following:
Poor appetite or overeating.
Insomnia or hypersomnia.
Low energy or fatigue.
Poor concentration or difficulty making decisions.
Over the two year period, the patient has never been without symptoms for more than two months consecutively.
No major depressive episode has occurred during the first two years of the disturbance.
No manic, hypomanic or mixed episode, or evidence of cyclothymia is present.
Symptoms do not occur with a chronic psychotic disorder.
Symptoms are not due to substance use or a general medical condition.
Symptoms cause significant social or occupational dysfunction or marked subjective distress.
What is Morgellons Disease Morgellons (also called Morgellons disease or Morgellons syndrome) is a name that was given in 2002 by stay-at-home-mom Mary Leitao to a proposed condition characterized by a range of cutaneous (skin) symptoms including crawling, biting, and stinging sensations (formication); finding fibers on or under the skin; and persistent skin lesions (e.g., rashes or sores). Most doctors, including dermatologists and psychiatrists, regard Morgellons as a manifestation of known medical conditions, including delusional parasitosis.
Hiatus Hernia Treatment The term hiatus hernia describes diaphragmatic hernia or weakness in the diaphragm, the horizontal muscular wall separating the organs of the chest from the organs of the abdomen. A hernia is an abnormal protrusion of an organ or tissue through an opening. A hiatus, or opening, permits the esophagus to carry food from the mouth to the stomach. Blood vessels and nerves also pass through the diaphragm. The diaphragm is an important group of muscles for contracting and expanding the lungs, forcing air in and out of the lung tissues.
Natural Head Lice Treatment Are you looking for natural head lice treatment? here is some good stuff about natural head lice treatment. Head lice are tiny wingless insects that are grey-brown in colour. They are the size of a pinhead when they hatch and 3mm long (the size of a sesame seed) when fully grown. Head lice cannot fly, jump or swim. They are spread by head-to-head contact and climb from the hair of an infected person to the hair of someone else.
Immune System Facts Information and Function for Kids What is Immune System
An immune system is a system of biological structures and processes within an organism that protects against disease by identifying and killing pathogens and tumor cells. It detects a wide variety of agents, from viruses to parasitic worms, and needs to distinguish them from the organism's own healthy cells and tissues in order to function properly.
Organic grocery list Looking for organic food coupons online? Welcome to BestOrganicFoodCoupons.com – your source for all things coupon related.
Sinusitis Symptoms and Treatment Sinusitis is an infection (usually bacterial) of one or more of the sinuses. It occurs more commonly in adults than in children. The sinuses are air-filled cavities located within the facial bone structure and connected to the nose. There are four major groups; frontal, ethmoidal, sphenoidal, and maxillary.
The sinuses are lined with mucous membrane and are normally kept clear when mucus drains through them into the nasal passages. If they are obstructed, normal drainage cannot occur, and infection of the sinuses can result.