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Lisfranc injury

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Created by locateg > 9 months ago, 30 Jan 2014
locateg
NSW, 33 posts
30 Jan 2014 7:48PM
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Dislocated my mid foot kiting on a twin tip in the surf three months ago. Had to have surgery to put some screws in my foot and have been in plaster and moon boot since then and still on crutches for at least another 3 weeks. (missed all of summer

Wikipedia tells me it is a uncommon injury but more common in windsurfing and kiting? (car crashes and horse riding as well)

So I'm just wondering if anyone else has had this type of injury and how long until they got back in the water. Also how your foot is over the long term as the internet just seems to be full of horror stories.

Cheers

dan berry
WA, 2562 posts
30 Jan 2014 5:26PM
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I did it years ago. Took about 2 years to fix. Mainly because I kept going back out to early and retearing. All good now 15 yrs later

pweedas
WA, 4642 posts
30 Jan 2014 6:09PM
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It will probably heal up eventually, but it's essential that you don't do any more kiting.
Wndsurfing is perfectly ok though.

rod_bunny
WA, 1089 posts
30 Jan 2014 8:26PM
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Did mine 3 years ago. Whilst smashing my cuboid bones and fracturing 4 out of five metatarsals.

3 months in a cast, then surgery (Had a "tightrope" put in to hold my metatarsals together), then 9 months of recovery, before I was fit for work.
All up a year off work, then a year of hobbling around and permanent pain.

3 years on its all good now.

Dr said I'd be back in for getting it scraped out for the inevitable arthritis I will get within 10 years.

On the plus side - I have been out kiting again, tried boots and they were good.


Just "mowing the lawn" is fine by me sometimes - being out on the water after 2 years

Cal
QLD, 1003 posts
31 Jan 2014 10:35AM
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Did mine about 10 years ago at work. If I don't keep well on top of stretches, exercises and orthoticsthen it is still very sore. I found I could do anything after a coulpe of years but the pain management was (and still is) a full time exercise, increasing with activity. My best advise is get a really good physio and listen to them, also thoroughly recommend clinical pilates, ideally provided by a physio.

locateg
NSW, 33 posts
31 Jan 2014 9:11PM
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Thanks
Looks like I need to be a bit more patient Went back to work this week and hobbled around to much, foots sore and swollen more than it has been for the last couple of weeks.

rod-bunny sounds like you really did a number on your foot. Mines not as bad as that no broken bones just a couple bone chips floating around.
Like you I'm not looking forward to the possible/inevitable arthritis

Cal yours sounds like what I've been reading about, long term pain and a lot of effort to get it right.



drfoot
WA, 11 posts
2 Feb 2014 4:43PM
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horrific injury locateg - possibly the worst that i see...

for those not in the know a lisfranc injury is when the top of the forefoot has a significant plantar flexion force against the rear foot.

the end result is usually serious soft tissue trauma to the dorsal ligaments of the foot as well as associated fractures of the metatarsals. even though the fractures look bad - its usually the soft tissue injury that takes its time healing and slows recovery.

most patients i see with this injury suffer early onset mid foot arthritis - this is why in some cases the surgeons must consider fixation of the tarsal bones to ensure a more effective long term prognosis - sounds like you had this...

as you can appreciate the circulation to the foot is poor relative to more proximal anatomy so your recovery is often delayed. the foot will never be the same and this injury will haunt you for a while. i.e. if you push it then it will let you know about it.

i would say that 6 months you would be well and truly back on track however 18months before it will settle to be the way it is for the longer term.

try using size D tube grip compression on the foot at all times - including sleeping to prevent excessive swelling, if you can't tolerate that then get some 2XU or skins socks for compression of the foot and lower limb

go hard on rehab with a physio - wobble board etc to enhance proprioception

after a couple of months go and see a reputable sports podiatrist to get you back on track with some functional orthoses for your shoes

anyway mate - sorry to read of your injury and i hope you are on the mend - chin up coz kiting is one thing you can do without pain in the foot in the future!!!

Cal
QLD, 1003 posts
2 Feb 2014 8:05PM
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yep, lots of effort to get any progress has been my story but the effort is worth it both to manage pain but also to ensure a fun life. The hardest thing I found was finding anyone with knowledge and skills to help; drfoot, if you have skills here I wouldnt mind picking your brain a little.

As drfoot suggested, my biggest problem seems to have been the soft tissue, the most recurring problem being something like plantar fasciitis. Good luck with the recovery locateg, happy to answer any questions you may have, pm me if need.

drfoot
WA, 11 posts
2 Feb 2014 9:35PM
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hey cal - planter heel pain is the most common injury i see. it is a 450 million dollar a year industry in the USA?. common injury huh!

there are so may factors that have to be considered in this injury - it never really is the fault of the plantar fascia ligament and it nearly always involves a little nerve called baxters nerve - AKA 1st branch of the medial planter nerve. when its pissed it hurts real bad! the ligament can be irritated but nearly all the surgeons i have had go near these things say that the ligament that was sent to pathology returned noninflammatory but degenerative. and you can have a thickened plantar fascia without symptoms...so it should really be called plantar fasciopathy? not fasciitis (being particular).

usually the first few steps in the morning after getting out of bed are pure torture..this condition can be crippling and frustrating!!!

im not sure where you are at with it but i would suggest that you address your footwear (wear some top quality running shoes for a month or so fitted by a specialist fitting store like athletes foot) some plantar fascia specific stretching helps - sitting down, bend the knee and pull the toes and ankle back as far as they go - especially the big toe. get some imaging - usually ultrasound for formal diagnosis with plantar fasciitis. this usually leads to some form of management plan? (prob should come 1st!) then you have things like cortisone injections, shock wave therapy, plasma rich injections, iontophoresis, functional orthotic therapy and all those wonderful things that are available for patients with this condition.

the thing is you are always best to go see a reputable and recommended sports podiatrist that can guide you to recovery!

sorry but thats about as close as i can get with the info - don't hesitate to email me if its not improving - happy to help

locateg
NSW, 33 posts
3 Feb 2014 11:11PM
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Thanks Guys for all the advice especially the stuff I have do in the not to distant future.

No one told me about the D tube grip compression. Funny thing is I was using it until couple of weeks ago because the moon boot was rubbing on the surgery scar.

For me the screws were put in because the joint was still out of place and they will be taken out in six months or so. Hopefully it will also give better long term prognosis.

Sounds like I'm on the right timeframe for recovery just have to be more patient.

When I did it I thought I had broken my leg or something like that, body dragged back to shore landed my kite and laid down on the beach to have a bit of a think whilst clutching at the sand in pain and thought "Damn 8 to 10 weeks off the water be back around new years that's not to bad"
Got to the hospital got x-rays the local doc said he couldn't see much wrong maybe some chipped bones. Sent me home with me thinking to myself what a fairy I am over nothing but at least I'll be out on water pretty soon.
Next day it was obvious that there was something seriously wrong my whole leg from above the knee down was swollen and my foot was every shade of purple.(couldn't even rest my foot on the ground)

X-ray reports came back saying there was nothing wrong (not even any chipped bones?) but got a referral to the fracture clinic from my doctor (thankfully). The surgeon there quickly looked at the x-rays and told me I'm going to surgery when the swelling goes down a bit and I need a cat scan just to help him do the surgery.

Weirdly it took weeks to sink in how bad this injury is and how slow the recovery is even though you are told about it.
Bit of a sob story But hey I'm bored.






dan berry
WA, 2562 posts
4 Feb 2014 4:27AM
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It's such an obscure injury eh. Outside of using foot straps it seems impossible to do.



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Forums > General Discussion   Shooting the breeze...


"Lisfranc injury" started by locateg