Jacques Lisfranc de St Martin was a surgeon in Napoleon’s Army and first described the lisfranc injury in 1813. A common mechanism then was falling from a horse whilst trapping their foot in the stirrup. This resulted in a fracture at the base of the second metatarsal and separation of the metatarsals. The injury is nowadays most commonly seen in sports people especially rugby players. Pain and swelling in the midfoot following an external rotation injury usually during a tackle are signs highly suggestive of a Lisfranc injury. The diagnosis is made with x-rays and CT scans. Undisplaced fractures can be treated non-operatively but displaced fractures require fixation. A delay in treatment adversely affects the outcome so early diagnosis is very important.
Ankle to foot clinic(A2F Clinic) is now seeing routine as well as acute foot and ankle cases. We can offer face to face consultations with appropriate PPE and are now starting routine as well as urgent operations. We have recommenced joint injections. We still offer remote video link consultations for patients who are self isolating and who do not need a face to face consultation and examination. We are able to offer the full range of diagnostic imaging including x-rays, ultrasound, MRI and CT scans. We have clinics most days.
Please ring Jayne Hainsworth my secretary on 0113 2185942 for an appointment.