There was no way to avoid the crash. A woman was driving her car up Franklin Street and another lady decides to make a left hand turn in front. She slams on her brakes but she couldn't stop before the crash. The next thing woman knows is that she feels terrible pain in the top of her foot, which is on the brake. EMS comes to the scene and takes her to the hospital.
The emergency room doctor checks out the patient and orders x-rays of her foot an ankle. The doctor comes into the room with the x-ray in his hand and explains to the patient that she has a fracture and dislocation of bones in her mid-foot. The doctor uses the term “Lis Franc” injury. He wraps the foot in an ACE bandage and gave the patient a referral to a foot specialist.
What is a Lisfranc Injury?
A Lisfranc injury is a fracture dislocation of a tarsal and one or more metatarsal bones in the foot. The arch of the foot Is made up of the navicular (scaphoid), cuboid and three cuneiform bones.
How is a Lisfranc Injury usually caused?
In my practice, I have seen this type of injury in a front end crash where the client's foot was on the brake and the crash caused a lot of energy traveling through the foot, a trip and fall in a large pot hole, and a motorcycle crash.
Treatment for a Lisfranc Injury
Sometimes simple casting will allow the injury to heal. Other times clients need to undergo pinning of the bones. One of the problems for clients that I have seen during the post-op period is that they need to be non weight bearing, which can certainly cause them a problem getting around.
Lisfranc Injuries from an Indiana personal injury lawyer's perspective
My biggest concern when I'm representing a client who has suffered from a Lisfranc injury is what is going to happen in the future. Many times people have chronic foot pain. Woman cannot wear high heels and guy's can have difficulty climbing ladders. Additionally, I am concerned that my clients will develop post-traumatic arthritis that can cause problems for the rest of their lives.
If this is the case, we need the client's doctor to support the position so we can get them fair, complete and just compensation for their injury. I remember having a discussion a while back with an adjuster from a large auto insurance carrier who categorized my client's injury as a broken toe. I almost hit the fan. I told the adjuster she didn't really know what she was talking about, filed suit and had the case was reassigned to somebody reviewed the file and the literature that I provided to them.
One of the keys to getting over a Lisfranc injury after an accident is following the doctor's advice to a tee.