[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-564673-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-564673-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","midfoot-sprain-versus-lisfranc-injury-overview","Midfoot Sprain Versus Lisfranc Injury - Overview","","Explains the difference between midfoot sprain and Lisfranc injury, emphasizing how Lisfranc trauma disrupts the tarsometatarsal region and may involve fractures, joint dislocations, and/or stabilizing ligament damage. Describes typical mechanisms of injury, clinical signs such as swelling, midfoot pain, bruising on the plantar surface, and difficulty weight-bearing. Covers physical examination findings, imaging strategy including weight-bearing X-rays, CT/MRI when needed, and treatment pathways: non-surgical care for stable injuries and surgery with possible fusion and hardware removal for unstable cases.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/general/","General",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/midfoot-sprain-versus-lisfranc-injury-overview/564673/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/midfoot-sprain-versus-lisfranc-injury-overview/564673.png","ImageObject",442,249,{"name":42,"@type":43},"moss~","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-29","2026-10-12",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"How does a Lisfranc injury differ from a midfoot sprain?","Question",{"text":63,"@type":64},"Lisfranc injury involves significant trauma to the midfoot, often including fractures, joint dislocation, and/or stabilizing ligament injury at the tarsometatarsal joint. Midfoot sprain refers to a less severe ligament injury that can be stable and treated without surgery.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What are the typical symptoms and exam findings for Lisfranc injuries?",{"text":68,"@type":64},"Patients usually have significant swelling and pain in the middle part of the foot, often with bruising on the plantar (bottom) aspect. Exam commonly shows focal midfoot tenderness and pain with manipulation such as twisting the forefoot downward and outward.",{"name":70,"@type":61,"acceptedAnswer":71},"What imaging and treatment are used to assess stability and manage these injuries?",{"text":72,"@type":64},"Weight-bearing X-rays help determine whether the injury is stable or unstable, while CT or MRI may be needed when diagnosis or extent is unclear. Stable injuries are often treated with protection and limited/non-weight-bearing followed by rehabilitation, whereas displaced or unstable injuries typically require surgical stabilization and prolonged recovery.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},564673,1792092560,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,114,119,124],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},17,"Forms",40,"forms",{"id":115,"doc_module":22,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},18,"Letters",30,"letters",{"id":120,"doc_module":22,"doc_module_name":25,"category_name":121,"show_sort_weight":122,"slug":123},21,"Paper Templates",5,"papers-templates",{"id":125,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":4,"slug":126},158,"general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":125,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":33,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":26},962090895452,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Midfoot Sprain Versus Lisfranc Injury  \n(Midfoot Dislocation +/ -Fracture)  \nDepartment of Orthopedics Foot & Ankle CU Medicine  \nSummary  \nA Lisfranc injury is a significant injury that involves the midfoot. It is some:mes referred to as a midfoot sprain and it is o\u003Cen has a lengthy recovery :me-especially compared to the average ankle sprain. ALisfranc injury can involve any combina:on of fracture, joint disloca:on, and/or injury to the stabilizing joint ligaments. The injured area is the junc:on between the midfoot and the forefoot (tarsometatarsal joint) . It is named a\u003Cer the 19th century French surgeonJaques LisFranc de St. Mar:n who described anamputa:on through the foot where this injury happens. The classic story told is that this injury was seen when soldiers were knocked off of their horses with their feet caught in the s:rrup. Significant disrup:on of these midfoot ligaments (Figure 1), especially with addi:onal breaking of the midfoot bones, can lead to pain, swelling, and inability to weight-bear. During normal standing and walking, the ligaments of the midfoot experience forces that are 2-3 :mes body weight. These ligaments and bones must heal before normal walking can occur. This o\u003Cen takes many months. A stable injury to the midfoot, whereby these ligaments are injured (perhaps stretched or only par:ally torn) can be treated without surgery. This involves 6weeks or more of non-weight-bearing or limited weight bearing followed by a physical therapy program to regain full func:on. A displaced Lisfranc injury usually requires surgery to stabilize the injury followed by an extended period of recovery.  \nClinical Presenta1on  \nLisfranc injuries typically occur when the foot is pushed up and out and twisted under the load of body weight (ex. trip off a curb) or by another person (sports) or thing (car accident) . When this happens, the strong midfoot ligaments may par:ally or completely tear and some:mes the bones will break.  \nThis can occur via a number of mechanisms including:  \n• A twis:ng injury such as o\u003Cen occurs in spor:ng ac:vi:es ([ex. football](ex. football)), where the toes are planted on the ground and theheel is loaded.  \n• A slip and twist to the foot while stepping off a curb.  \n• Impact of the foot on the brake pedal, such as occurs in a motor vehicle crash.  \nPa:ents with Lisfranc injuries usually have significant swelling and pain in the middle part of the foot, and o\u003Cen have bruising on the boXom of the foot (Figure 3) . It is usually very difficult or impossible to put weight on the injured foot or leg due to pain.  \nLisfranc-type injuries range from mild sprains with a stable foot to complete tearing of the ligaments along with mul:ple bones. Because the ankle is o\u003Cen not part of the injury, this problem may be minimized as “just a foot sprain,” so providers need to be thinking about this injury in the proper se]ng so it can be diagnosed and treated in a :mely manner to obtain the best result.  \nPhysical Examina1on  \nPhysical examina:on reveals specific tenderness to palpa:on across the midfoot region (Figure 2) . There will o\u003Cen be significant swelling of the foot (Figure 3) . Pa:ents with Lisfranc injuries will not want to bear weight on the injured foot. In addi:on, manipula:on of the bones of the midfoot, specifically twis:ng he foot downwards and to the outside (prona:on and abduc:on of the forefoot), will create pain. Bruising in the center boXom aspect (plantar) of the foot is common and should raise suspicion for a significant injury.  \nImaging Studies  \nX-rays are taken to iden:fy whether the injury is displaced or non-displaced. Weight-bearing foot x-rays are helpful to determine if the midfoot injury is stable (sprain) or unstable (Lisfranc) . Obtaining a comparison film of the other foot is helpful to see the normal alignment of the person’s foot (which can vary from person to person) .  \nA CT scan or MRI may be necessary if the diagnosis or the extent of the injury is unclear. These tests help ","cbCaieI7svsAMkUA","https://ap.wps.com/l/cbCaieI7svsAMkUA","pdf",858122,"English","# Summary\n# Clinical Presentation\n# Physical Examination\n# Imaging Studies\n# Classification\n# Treatment\n# Surgical Treatment of Lisfranc Injury\n## Recovery from Surgery","[{\"question\":\"How does a Lisfranc injury differ from a midfoot sprain?\",\"answer\":\"Lisfranc injury involves significant trauma to the midfoot, often including fractures, joint dislocation, and/or stabilizing ligament injury at the tarsometatarsal joint. Midfoot sprain refers to a less severe ligament injury that can be stable and treated without surgery.\"},{\"question\":\"What are the typical symptoms and exam findings for Lisfranc injuries?\",\"answer\":\"Patients usually have significant swelling and pain in the middle part of the foot, often with bruising on the plantar (bottom) aspect. Exam commonly shows focal midfoot tenderness and pain with manipulation such as twisting the forefoot downward and outward.\"},{\"question\":\"What imaging and treatment are used to assess stability and manage these injuries?\",\"answer\":\"Weight-bearing X-rays help determine whether the injury is stable or unstable, while CT or MRI may be needed when diagnosis or extent is unclear. Stable injuries are often treated with protection and limited/non-weight-bearing followed by rehabilitation, whereas displaced or unstable injuries typically require surgical stabilization and prolonged recovery.\"}]","Midfoot Sprain Versus Lisfranc Injury - Overview | PDF",1791843645]