Lisfranc Injury Treatment in Vermont
Find orthopedic specialists who treat lisfranc injury in Vermont
A Lisfranc injury is damage to the bones or ligaments at the Lisfranc joint complex - where the metatarsal bones of the forefoot meet the tarsal bones of the midfoot. These injuries range from mild ligament sprains to severe fracture-dislocations and are frequently misdiagnosed as simple foot sprains. Lisfranc injuries occur in athletes from low-energy twisting mechanisms and in non-athletes from falls or direct trauma such as a heavy object dropping on the foot.
Common symptoms of lisfranc injury
- Pain and swelling across the top of the midfoot
- Bruising on the bottom (sole) of the foot - a hallmark sign of Lisfranc injury
- Inability or significant difficulty bearing weight on the foot
- Visible widening or deformity of the foot in displaced injuries
- Point tenderness over the midfoot joints when pressed
- Pain that worsens with rotation or twisting of the forefoot
When to see a specialist
Seek evaluation promptly if you cannot bear weight after a midfoot injury or notice bruising on the bottom of your foot. Lisfranc injuries are frequently missed initially - weight-bearing X-rays and sometimes a CT scan are necessary for accurate diagnosis. Early treatment prevents long-term deformity and arthritis.
Treatment options
Non-weight bearing in a cast or boot
For purely ligamentous injuries without displacement on weight-bearing X-rays, 6-8 weeks of strict non-weight bearing with close imaging follow-up. Any displacement on weight-bearing views requires surgery.
Open reduction and internal fixation (ORIF)
Surgery to realign and stabilize displaced fractures or ligamentous dislocations using screws or plates. Hardware screws through ligamentous joints are often removed at 3-4 months to restore some motion. Recommended for most displaced Lisfranc injuries.
Primary arthrodesis (fusion)
Fusion of the involved Lisfranc joints is increasingly preferred for purely ligamentous Lisfranc injuries, with studies showing better long-term functional outcomes than temporary screw fixation. Mobility loss is modest as these joints normally have limited motion.
Recovery timeline
Non-surgical treatment: non-weight bearing for 6-8 weeks, then progressive loading over 3-4 months, with return to sport at 4-6 months. Surgical treatment: non-weight bearing for 6-8 weeks, gradual weight bearing from weeks 8-12, return to sport at 4-6 months for most patients, with some athletes requiring 9-12 months.
Orthopedic Specialists in Vermont
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Common Questions About Lisfranc Injury Treatment in Vermont
How do I find a doctor for Lisfranc Injury in Vermont?
AdvOrtho lists orthopedic surgeons across Vermont who treat Lisfranc Injury. Browse the providers on this page, view their credentials and sub-specialties, and request an appointment directly from their profile.
Does insurance cover Lisfranc Injury treatment in Vermont?
Most major insurance plans cover medically necessary treatment for Lisfranc Injury, including consultations, imaging, physical therapy, and surgery. Coverage details vary by plan. Contact your insurer or the provider's office to verify coverage before scheduling.
What type of doctor treats Lisfranc Injury?
Lisfranc Injury is typically treated by an orthopedic surgeon. Depending on the specific condition, you may see a specialist in sports medicine, joint replacement, spine surgery, or another orthopedic sub-specialty.
This page is for informational purposes only and does not constitute medical advice. Always consult a qualified orthopedic specialist for diagnosis and treatment.