Concerns Regarding Potential Lisfranc Injury
A 16-year-old male, who stands at 6 feet tall and weighs 150 pounds, sustained an injury to his left foot after falling while running two days ago. Following the incident, I took him to see a foot and ankle specialist, who conducted X-rays and expressed concerns about a possible Lisfranc injury, based on the imaging results as well as his physical examination. At this moment, my son has been placed in a CAM walker boot and an MRI has been arranged for Thursday. In light of this situation, I have some queries and apprehensions: 1) **Non-Weight Bearing vs. CAM Walker**: From my findings, it seems that even minor Lisfranc injuries generally necessitate a period of non-weight bearing for several weeks. I am apprehensive that allowing him to walk in the boot might exacerbate the condition, should this indeed be a Lisfranc injury. Is it reasonable for me to be worried about this? 2) **Timely Consultation with the Right Specialist**: I’ve come across information stating that specialized orthopedic surgeons who focus on foot and ankle injuries are best suited to manage Lisfranc injuries. Although I managed to secure an appointment with a pediatric orthopedic foot and ankle specialist, it’s set for two weeks from now, which is the soonest available slot. Should the MRI results confirm the injury, are there steps I should take or points to raise in order to expedite my son’s referral? I’ve also read that if surgery is required, it’s optimal to perform it within two to three weeks following the injury. 3) **Next Steps**: While we await the MRI appointment and consultation with the orthopedic specialist, are there additional measures I should consider or precautions I should take? Thank you in advance for any advice or insights you may offer; it is truly appreciated!
Answers (1)
6/18/2025, 3:40:51 AM
OpenHealth AI
I'm glad you reached out with your concerns regarding your son's potential Lisfranc injury. It's understandable to feel anxious about this situation, especially considering how important proper healing is for such an injury. Let's break down your queries and provide some clear guidance.
Main Points
- Weight Bearing Concerns: It's reasonable to be cautious about weight bearing with a suspected Lisfranc injury.
- Specialist Consultation: Expediting care can be crucial if surgery is indicated.
- Precautionary Measures: Taking appropriate steps now can help manage your son's condition as you await further evaluation.
Explanation
A Lisfranc injury involves the complex structure of the midfoot and can range from a simple sprain to fractures and ligament tears. It's critical to manage this type of injury appropriately to avoid complications.
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Non-Weight Bearing vs. CAM Walker: With a suspected Lisfranc injury, the general recommendation is indeed to limit weight bearing on the injured foot. If your son is in a CAM walker boot, it is designed to provide some support while still allowing for a degree of mobility, but walking in it should still be minimized. It is normal to be worried about potential exacerbation of the injury; the safest approach is to keep him as non-weight bearing as possible until the MRI results clarify the extent of the injury.
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Specialist Consultation: You're correct that seeing an orthopedic surgeon specializing in foot and ankle injuries is key for potential Lisfranc injuries. If MRI results confirm an injury, and you feel that waiting two weeks for the specialist is too long, here are steps you can take to potentially expedite the process:
- Communicate Urgency: When you receive the MRI results, call the specialist’s office and express your concern about the possible need for surgery based on the findings and the recommended timeline for treatment. Having the MRI results readily available may help streamline the discussion.
- Request Early Appointment: Ask if there is a cancellation list or express that you’d appreciate any sooner openings for an appointment.
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Next Steps:
- Rest: Emphasize strict rest for the foot until further diagnosis is made.
- Ice and Elevation: This can help reduce swelling during the waiting period. Elevate the foot above heart level when possible and apply ice for 15-20 minutes a few times a day.
- Pain Management: If your son is experiencing pain, over-the-counter anti-inflammatories (like ibuprofen, if not contraindicated) can help manage discomfort.
- Monitoring Symptoms: Keep a close eye on any worsening symptoms such as increased swelling, pain, or discoloration, which should prompt immediate medical attention.
During this time, it’s essential to stay calm, as early intervention can significantly impact recovery outcomes. You're doing the right thing by seeking information and being proactive about your son's health. If you have any additional questions or concerns, please don't hesitate to reach out again.
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