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.
Herpes Symptoms in Men Herpes simplex virus (HSV) affects more than one-third of the world's population. HSV exists as types 1 and 2, which have affinities for different body sites. Ninety percent of infections caused by HSV-2 are genital, and 90 percent of those caused by HSV-1 are oral.
Cerebral palsy types, symptoms and treatment Cerebral palsy (CP) is a general term to describe various disorders of muscle control caused by a period of lack of oxygen to the brain.
Cerebral palsy Causes
Cerebral palsy is caused by brain or nerve damage that usually occurs before or around the time of birth. The damage may result when brain tissue becomes starved for oxygen for any reason. It may result from separation and bleeding of the placenta (the organ that anchors the fetus to the wall of the uterus and provides nourishment) in late pregnancy or form disorders caused by diabetes in the mother. It is characteristic of cerebral palsy that the neurologic problems are not progressive.
Symptoms Ovarian Cancer Are you looking for article about symptoms ovarian cancer? Here is good stuff about ovarian cancer symptoms.
The 5-year survival rate for ovarian cancer by stage is not significantly different from the 5-year survival rate for other gynecologic cancers; however, there is a significant difference in stages, with ovarian cancer usually having spread into the abdomen in about two thirds of patients at the time of diagnosis. It is clear from these data that the single most important factor in the large number of deaths from ovarian cancer is the failure to diagnosis the disease at an early stage. The reasons for this failure correspond to the growth and spread patterns of the disease. Because the ovary floats freely in the pelvic cavity, a tumor can grow for some time without producing symptoms associated with involvement of, or pressure on, other organs.
Fiber foods functions and consumption rule The role fiber plays in promoting nutrition and health has been a controversial subject in recent years. What exactly is fiber? How effective is it in reducing certain health risks? Are certain types of fibers more effective than others?
Fiber, often referred to as “bulk” or “roughage”, is the indigestible portion of plant foods that helps move foods through the digestive system and softens stools by absorbing water. Insoluble fiber, which is found in brain, wholegrain breads and cereals, and most fruits and vegetables, is associated with these gastrointestinal benefits and has also been found to reduce the risk for several forms of cancer. Soluble fiber appears to be a factor in lowering blood cholesterol levels, thereby reducing risk for cardiovascular disease. Major sources of soluble fiber in the diet include oat bran, dried beans (such as kidney, garbanzo, pinto, and navy beans), and some fruits and vegetables.
Heartbeat irregularities Causes, Symptoms and Treatment Heartbeat irregularities (also called cardiac arrhythmias) are deviations from the normal, steady beating of the heart.
Minor irregularities in the heartbeat are common, but more serious arrhythmias can lead to fainting, angina pectoris, or heart attack. The most devastating heartbeat irregularity is called ventricular fibrillation, which occurs when the normally steady pumping action of the heart is reduced action of the heart is reduced to a useless quivering.
Sciatica Treatment Exercises Guide and Image Sciatica differs from other types of back problems in the way the pain is felt. Sciatica pain can be a dull ache felt in the buttocks or a shooting pain that radiates down the leg. Sciatica symptoms can be numbness or 'pins and needles' and is commonly felt in the foot.
Sciatica back pain is located in the lower back but is usually less severe than other accompanying sciatica pain. There are several sciatica treatment options which can be used to give pain relief and can range from exercises to surgery.
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.
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.
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.
A Balanced Diet Plan Menu Are you looking for a balanced diet plan menu? Eating a balanced diet means choosing a wide variety of foods and drinks from all the food groups. It also means eating certain things in moderation, namely saturated fat, trans fat, cholesterol, refined sugar, salt and alcohol. The goal is to take in nutrients you need for health at the recommended levels.
Propofol infusion syndrome and other side effects Propofol (INN, marketed as Diprivan by AstraZeneca) is a short-acting, intravenously administered hypnotic agent. Its uses include the induction and maintenance of general anesthesia, sedation for mechanically ventilated adults, and procedural sedation. Propofol is also commonly used in veterinary medicine. Propofol is approved for use in more than 50 countries, and generic versions are available.
Pulmonary Hypoplasia and Congenital Renal Anomalies Caroline May, Anne Greenough
Arch Med Sci 2006; 2, 1: 6-9
The association of pulmonary hypoplasia with bilateral renal agenesis is well
recognised. It is important, however, for clinicians to be aware that pulmonary
hypoplasia does occur with other congenital renal anomalies and worsens the
Reboot diet recipes and reviews are you looking for reboot diet recipes and reviews? Joe Cross goes through 60 days of juice fasting, a so called "Reboot" to reset his body's system, and naturally looses an enormous amount of kilos, but this can obviously not be recommended without a doctor's supervision. So according to Reboot Your Life's website a 5 day juice fast is recommended, or for a bit of a more humane version a diet with light meals and juice in combination.