Document Detail


Conservative management of subtle Lisfranc joint injury: a case report.
MedLine Citation:
PMID:  15839309     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Case report. BACKGROUND: Athletic Lisfranc injuries are characterized by disruption of the soft tissues about the tarsometatarsal joint complex. They are frequently missed on initial consultation due to a paucity of demonstrable physical signs, yet often result in significant disability. This case illustrates the 2 great challenges in managing these injuries: firstly, arriving at an accurate diagnosis and, secondly determining whether the injury is stable and, therefore, appropriate for conservative management CASE DESCRIPTION: The athlete was a 21-year-old professional basketball player with a recurrent ligamentous injury of the Lisfranc joint. A global approach to evaluation and treatment of the entire lower extremity and pelvis in managing this injury is emphasized. OUTCOMES: The athlete in this case report made a successful return to his previous level of competition 12 weeks postinjury. At 2-year follow-up he continues to play professionally without any symptoms. DISCUSSION: In selected cases for which patients have no osseous displacement and the ability to run on the toes soon after injury, conservative management of Lisfranc injury may be appropriate Key features of a conservative approach include recognition of a prolonged recovery time adequate rest for soft tissue healing, restoration of a normal gait pattern to prevent chronic overstress of injured tissues, appropriate orthotic prescription, and proprioceptive retraining.
Authors:
David J S Wadsworth; Nathan T Eadie
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of orthopaedic and sports physical therapy     Volume:  35     ISSN:  0190-6011     ISO Abbreviation:  J Orthop Sports Phys Ther     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-04-20     Completed Date:  2005-06-28     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7908150     Medline TA:  J Orthop Sports Phys Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  154-64     Citation Subset:  IM    
Affiliation:
Red Hill Physiotherapy and Sports Injury Centre, Queensland, Australia. d.wadsworth@redhillphysio.com.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Basketball / injuries*
Biomechanics
Diagnosis, Differential
Foot Injuries / diagnosis,  rehabilitation*
Humans
Joint Instability
Ligaments / injuries*
Male
Metatarsal Bones / injuries*
Orthotic Devices
Physical Therapy Modalities*
Recurrence
Running
Tarsal Bones / injuries*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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