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 athleteís 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 Lisfrancís 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.
Family Health Nursing ďFamily health nursing is the practice of nursing directed towards maximizing the health and well-being of all individuals within a family system. It incorporates two views of family; family as a unit of care and family as a system existing within larger system. Levels of intervention are individuals the personal, the family system, and the environmental level. The goals of the family health nursing include optimal functioning for the individual and for the family as a unit.Ē
The family as a unit of care means that the entire family is the recipient of nursing intervention. This view point recognizes the mandate in the standards of community health nursingís practice that identifies clients as individuals, families and communities. In contrast, the family as context recognizes the impact the family has on an individual. This viewpoint underscores the need to understand the family environment in which the individual exists.
Smoking Cessation To quit smoking is not easy! For the person who chooses (and it is a choose) to quit, the Mayo Clinic Health Letter offers the following suggestions:
Somatoform Disorders Symptoms and Classification Somatization is defined as the transference of mental experiences and sense into bodily symptoms. Somatzations disorder is characterized by presence of recurrent and multiple, frequently changing somatic complaints of several years duration, for which medical attention has been sought, but these apparently are not due to any physical disorder.
Somatoform disorders are characterized by physical symptoms suggesting medical disease but without demonstrable organic pathology or known pathophysiological mechanism to account for them. They are classified as mental disorders because there is either evidence or strong presumption that physiological factors are the major cause of symptoms or not understandable by existing laboratory procedures. Three central features of somatoform disorders are as follows:
Flexeril dosage and usage Flexeril (cyclobenzaprine) is a muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain. Flexeril is used together with rest and physical therapy to treat skeletal muscle conditions such as pain or injury. Flexeril may also be used for other purposes not listed in this medication guide.
Plantar Fasciitis Treatment The plantar fascia can be involved with plantar fasciitis as it inserts into the calcaneus and also the Achilles tendon as it inserts into the back of the calcaneus. These are very common problems. If there is any sense that it is chronic inflammatory in nature and there are other systems involved, really think of a spondyloarthropathy because these areas are very commonly involved with things like ankylosing spondylitis and the like. But I do see patients occasionally and thatís all they have. They just have Achilles tendonitis or plantar fasciitis. Sometimes you can even get bursal inflammation although itís very difficult to differentiate from direct tendon involvement. But plantar fasciitis, again the most common situation I see is someone who walks a lot. Mail carriers. They start out with a 50 pound bag of mail and itís hard on their feet. They just walk around and deliver mail all day. But anybody who is on their feet a lot, walking, carrying extra weight, and the pain is usually in the sort of medial aspect of the bottom of the calcaneus. Itís not dead center, because thatís not where the plantar fascia inserts.
Psoriasis Symptoms in Children Psoriasis is a skin disease that causes itchy or sore patches of thick, red skin with silvery scales. You usually get them on your elbows, knees, scalp, back, face, palms and feet, but they can show up on other parts of your body. A problem with your immune system causes psoriasis. In a process called cell turnover, skin cells that grow deep in your skin rise to the surface. Normally, this takes a month. In psoriasis, it happens in just days because your cells rise too fast. Here is some stuff about Psoriasis Symptoms in Children.
Best Weight Loss Program Are you looking for Best Weight Loss Program? All diets must do one of two things -- reduce calorie intake and/or increase calorie expenditure through movement. Even though it confounds many of us, experts say weight loss really does come down to a simple formula of calories in versus calories out. Most popular diet plans work by dramatically decreasing calorie intake, and some increase weight loss even further by prescribing a set amount of daily physical activity.
Abdominal Pain Symptoms and Treatment A common primary care problem, especially among females, that is most oftenbenign but can be related to serious diagnoses. Functional pain is the
most common recurrent form of pain. Generally a diagnosis of exclusion, it is
defined as nonorganic pain related to everyday stress. School, peer, and family
problems are commonly associated stressors. Abdominal pain can be related
to school absenteeism and may be a sign of depression.
Mononucleosis symptoms children Are you looking for mononucleosis symptoms children? Infectious mononucleosis (IM; also known as EBV infectious mononucleosis or glandular fever or Pfeiffer's disease or Filatov's disease and sometimes colloquially as the kissing disease from its oral transmission or simply as mono in North America and as glandular fever in other English-speaking countries) is an infectious, widespread viral disease caused by the Epstein-Barr virus (EBV), one type of herpes virus, to which more than 90% of adults have been exposed. Occasionally, the symptoms can recur at a later period. Most people are exposed to the virus as children, when the disease produces no noticeable symptoms or only flu-like symptoms. In developing countries, people are exposed to the virus in early childhood more often than in developed countries. As a result, the disease in its observable form is more common in developed countries. It is most common among adolescents and young adults.
New Treatments for Arrhythmias in Children This is a general outline of the approach to arrhythmias. The first thing you are going to do is; what is the heart rate? Fast, slow? Is it regular, irregular? The next thing you will notice is; is it wide or narrow QRS, because obviously you will be worried about how dangerous this might be. And then you will probably start to look a little more closely and see if you see P waves. And the P waves are whatís going to really give you a diagnosis. They can be absent, they can be normal, they might be retrograde or they might be intermittent or multiple. Whenever possible, itís very helpful to obtain 12-lead EKGs to diagnose a rhythm disorder. Obviously if the patient is unstable itís not worth it, in a pulseless patient. But if a patient is stable talking to you, itís very helpful to figure out what this was and how to treat it long-term, if you have 12-lead EKGs. Itís also very helpful to run rhythm strips, preferably rhythm strips out of an EKG machine that will give you three leads rather than something off of a defibrillator or monitor during interventions when you give adenosine, even vagal maneuvers.
Spinal Stenosis Definition and Treatment What is defintion of Spinal Stenosis. Spinal stenosis is a narrowing of one or more areas in your spine ó most often in your neck or lower back. This narrowing can put pressure on the spinal cord or spinal nerves at the level of compression. Stenoses of the vascular type are often associated with unusual blood sounds resulting from turbulent flow over the narrowed blood vessel. This sound can be made audible by a stethoscope, but diagnosis is generally made or confirmed with some form of medical imaging.
aortic stenosis (AS) a narrowing of the aortic orifice of the heart or of the aorta near the valve.
hypertrophic pyloric stenosis narrowing of the pyloric canal due to muscular hypertrophy and mucosal edema, usually in infants.
Angina Pectoris Causes The most common symptom of coronary artery disease is angina pectoris, chest pain caused by insufficient oxygen getting to the muscles of the heart. Angina is usually described as a tightness, pressure, or dull aching pain under the breastbone and on the left side of the chest. Often it is described as "feeling like someone's sitting on my chest." The pain may radiate from the chest to the left arm or the left side of the jaw, and occasionally to the back.
The symptoms of angina are experienced in different ways by different people, but an individual usually experiences the same symptoms every time an attack occurs. Many experience sweating, shortness of breath, chills, or nausea during an attack. Others have no symptoms but a mild chest discomfort. Angina usually resolves five to ten minutes after exertion stops.
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.