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.
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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.
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Symptoms of UTI (Urinary Tract Infections) in Women Pregnancy causes numerous changes in the womanís body. Hormonal and mechanical changes increase the risk of urinary stasis and vesicoureteral reflux. These changes, along with an already short urethra (approximately 3-4 cm in females) and difficulty with hygiene due to a distended pregnant belly, increase the frequency of urinary tract infections (UTIs) in pregnant women. Indeed, UTIs are among the most common bacterial infections during pregnancy.
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Colon Rectum Cancer Symptoms and Therapy Cancer of the colon (large intestine) and rectum is the second leading cause of cancer-related deaths in the United States. Each year it claims an estimated 48,000 lives, and produces about 107,000 new casesómore than any other kind of cancer except skin cancer. It afflicts men and women about equally. The five-year survival rate from this form of cancer, usually after surgery, is about 90 percent where the cancer was localized about 65 percent where there was regional involvement. The death rate from colon and rectum cancer has decreased significantly over the past 20 years due to, among other factors, improved treatments and earlier diagnosis.
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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.
What is invasive molar pregnancy An invasive mole (cborioadenoma destruens) is a condition that halfway between a molar pregnancy and a true malignant mole. The molar tissue of ten grows into the muscle of the wall of the uterus, bur under the microscope the cell do not look like malignant molar cells.
For the placenta to implant itself in the wall of the uterus to establish of the normal pregnancy, it must be able to invade the motherís uterine wall. When trophoblasts start growing abnormally, however, they can become invasive, even highly invasive.
Pleurisy symptoms back pain Pleurisy (also known as pleuritis) is an inflammation of the pleura, the lining of the pleural cavity surrounding the lungs. Among other things, infections are the most common cause of pleurisy.
The inflamed pleural layers rub against each other every time the lungs expand to breathe in air. This can cause severe sharp pain with inhalation (also called pleuritic chest pain). Here is some stuff about pleurisy symptoms back pain.