90 likes | 288 Views
Lisfranc Sprain . http:// www.sportsinjuryclinic.net /gallery/foot/lisfrancs500.jpg. By Stephen Altano. Background. 17 year old high school football player Plays offensive guard on varsity Took himself out of play Mechanism= Hyper planterflexion Herd a distinct pop.
E N D
Lisfranc Sprain http://www.sportsinjuryclinic.net/gallery/foot/lisfrancs500.jpg By Stephen Altano
Background • 17 year old high school football player • Plays offensive guard on varsity • Took himself out of play • Mechanism= Hyper planterflexion • Herd a distinct pop http://www.aafp.org/afp/1998/0701/afp19980701p118-f5.jpg
Background continued • No initial Inflammation • Range of Motion=Full but painful • Positive Metatarsal Distraction test • X-Ray findings • Positive weight bearing • Negative for fracture http://radiopaedia.org/cases/lisfranc-fracture?fullscreen=true
Treatment and Outcome • Non-weight Bearing for Six Weeks • Cryotherapy • Restricted from Running and Jumping • Pain free • Instability http://www.livestrong.com/article/422324-mid-foot-sprain-rehabilitation-exercises/
Treatment and Outcome • ROM • Whirlpool • Stretching • Thera-band • Expected to compete in shot put http://rehabilitation-products.medical-supplies-equipment-company.com/PPF/page_ID/453/article.asp
Uniqueness and Discussion • L4 Dermatome deficit • Subsided with inflammation • Too early to compare with surgical intervention http://www.democraticunderground.com/discuss/duboard.php?az=view_all&address=105x9018420
The End http://articles.elitefts.com/wp-content/uploads/2011/02/football.jpg