Lisfranc Injury Essay

Sports has always been a huge part of my life. I would be the one team player who took the sports season a little bit too seriously. I was the number 1 doubles player on my school's JV tennis team. Unfortunately, I fractured my ankle during my junior year and wasn't able to play with my team. I was devastated, but I didn’t allow myself to become disconnected from my team. I became the team manager to allow myself to still play a role in my team, despite my injury. I would record scores to my division leaders and take pictures to post on the website I created for my team. After the season was over, my doctor told me my ankles required surgery to become fully healed. I knew that meant I couldn’t continue to play tennis, but I didn’t want to give

This assignment will present a reflective analysis of the examination, diagnosis, treatment and referral plan based on a simulated patient presenting with a minor injury. Potential diagnoses related to the mechanism of injury will discussed aligning the patient presentation with the literature to produce the most likely diagnosis. When this is established, a suggested treatment plan will be created in line with current guidance.

The area of focus is that of inmates. It is a population that has not received a lot of scientific studying in past years but it is a population that has been steadily growing. This is also a population that seems to be the most at-risk for having such an injury. The subpopulation of inmate does not

Per the report obtained Mr. Smith had good alignment of both ankles and his hardware was in

There are different techniques that repair a torn ACL. The popular method for surgeons is the patellar tendon graft procedure. This type of ACL replacement uses the middle third of the person’s own patellar tendon and replacing the damage tendon with it. The advantages are that the fixation is very strong and the patellar tendon replacing

assess, diagnose and treat abnormalities and diseases related to the foot and lower limb in people of all ages

Computerized tomography scan (CT scan). Just like MRI, CT scan may also not be required by your doctor to diagnose a Lisfranc injury though it provides a more detailed view of your foot compared to x-rays. CT scans are usually suggested when surgical operations are needed to help plan the surgery as it shows the extent of the injury as well as the number of joints it has affected.

The Lisfranc fracture-dislocation is characterised as an injury of the tarsometatarsal joints of the foot. This region of the foot is prone to injury due to the lack of ligaments separating the bases of the first and second metatarsals (Bontrager & Lampignano, 2010). The Lisfranc joint articulates between the cuneiforms and cuboid of the foot, along with the distal end of metatarsals, and separates the forefoot from the midfoot. The joint can be seen from three different views in Figure 1 of the appendix (Kalia, Fishman, Carrino, & Fayad, 2011). The clinical indications of a Lisfranc fracture-dislocation include oedema and tenderness in the area of the midfoot. The injury is usually caused by the foot being overly plantar flexed, and is often associated with vehicular accidents and sporting injuries (Scolaro, Ahn & Mehta, 2011).

The area above the level of injury should have very limited loss of function, with any minor impairment being directed solely towards the right side. On the left side, a light touch and vibrations should both still be detectable, although depending on the severity of pain from the injury, it may be difficult to discern. Similarly, other cutaneous sensory nerves, such as sensations of pain, hot and cold temperatures should also be detectable, and may result in a response by the somatic nervous system. Joint positions above the injury should also still be discernible.

With a severe grade III sprain: A ligament tears totally, bleeding under the skin, and swelling. Thus, the joint become unstable and not able to bear weight. In grade -3 sprain, all pain fibers are torn so there is no pain at the time of the injury.

●For the individual victim: examination with recognition of severe injuries and injuries with potential to cause rapid decompensation

After a injury occurs a primary survey should be done. The level of consciousness should be assessed, this will determine the next step. If the patient is unconscious, the spine should be stabilized. The patient should be checked for responsiveness, airway breathing, circulation, shock, and profuse breeding. While checking for these, emergency services should be contacted. If the patient was conscious after the primary survey, a secondary survey (responsiveness, airway breathing, circulation, shock, and profuse breeding) should be done. Provider should then check vital signs. history and musculoskeletal evaluation. From here, consider what treatment it is needed and decide transportation.

~Chief Complaint: The patient states the he history of plantar fasciitis. However he states over the last couple of weeks has been increasing in bilateral feet and hip and knees due to over compensating. Currently the patient c/o 6/10 localized pain in bilateral feet and the pain increase with prolong standing and activities. The patient states he was seen in the past by podiatry and PT and was giving inserts for shoes and his symptoms then improved but now worsening.

Ankle sprains have three degrees of injury ranging from 1-3. The level of the ankle sprain is determined by the amount that the ligament is torn or stretched. A grade one sprain is categorized as a slight stretching and damage to the fibers of the ligament. A grade 2 sprain is characterized as partial tearing of the ligament and abnormal laxity of the ankle. A grade 3 sprain is characterized by complete tear of the ligament if it can be pushed or pulled in certain movements there is gross instability. The movements of the ankle are abduction, adduction, plantar flexion, dorsiflexion, and inversion, eversion. The ligaments of the ankle hold the ankle bones and joint into position. These

Have you ever read the disclaimer on the back of your ticket to a baseball games? It says that there is a chance that foul balls or bats can go into the stands during the game, and you assume the risk of injury by purchasing a ticket to the baseball game. Does this mean that you are out of luck if you are injured in a freak accident while enjoying a game? The law may actually be on your side in this situation.