Lisfranc joint injuries are rare, complex and often misdiagnosed. Typical signs and symptoms include pain, swelling and the inability to bear weight. Clinically, these injuries vary from mild sprains to fracture-dislocations.
On physical examination, swelling is found primarily over the midfoot region. Pain is elicited with palpation along the tarsometatarsal articulations, and force applied to this area may elicit medial or lateral pain. Radiographs showing diastasis of the normal architecture confirm the presence of a severe sprain and possible dislocation. Negative standard and weight-bearing radiographs do not rule out a mild (grade I) or moderate (grade II) sprain.
Reevaluation may be necessary if pain and swelling continue for 10 days after the injury. Proper treatment of a mild to moderate Lisfranc injury improves the chance of successful healing and reduces the likelihood of complications. Patients with fractures and fracture-dislocations should be referred for surgical management.
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1. Matt Schaub hurt and more injuries
Matt Schaub has a right Lisfranc injury and is definitely out for Week 12 and possibly the season, accoding to some reports. The Texans quarterback suffered the injury on Sunday in a win against the Buccaneers. Matt Leinart will start at QB following the Texans' bye next week.
2. Matt Schaub out for year
Houston Texans quarterback Matt Schaub will miss the rest of the season with a Lisfranc injury, a league source told ESPN NFL Insider Adam Schefter.
Coach Gary Kubiak said earlier Monday that Schaub was injured on a quarterback sneak coming out of the end zone late in the second quarter of Houston's 37-9 win over Tampa Bay on Sunday. Schaub stayed in the game, but threw only three passes. Read more on ESPN
3. Matt Schaub Done for Season, How Bad This Hurts the Houston Texans Fantasy Value: Fan’s View
During the Houston Texans 37-9 romp over the Tampa Bay Buccaneers, their star quarterback, Matt Schaub suffered a significant injury to his foot. The injury occurred on his right foot during a quarterback sneak late in the second quarter. While Schaub was x-rayed during halftime, it didn't show how serious of an injury it was, allowing his return to the game in the second half. Read more on Yahoo Sports
4. Schaub & Cassel Done for Season, Stern & Pendusky Updates
ESPN’s Adam Schefter reports that Texans’ QB Matt Schaub (Lisfranc injury to right foot) is done for the season. QB Matt Leinart will now start, with rookie T.J. Yates backing him up. If the injury is accurate, he’ll need surgery and will miss 8-10 months. He finishes the season with a 15:6 TD-to-INT ratio and 248-yard per-game average. The offense will remain the most run-heavy in football.
Read more on Voice of Valeri
Monday, November 14, 2011
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