Florida trial lawyer and chiropractic physician, Guy S. DiMartino, DC, JD, discusses the perils of a Lisfranc injury after a Florida accident.
A Lisfranc injury after an accident can have devastating effects on the victim. You may remember this injury because Matt Schwabe of the Texans and Santonio Holmes of the Jets suffered this injury a couple of years ago. Lisfranc injuries do not only happen to football players they happen to regular folks in motor vehicle and slip and fall accidents.
What is a Lisfranc injury?
A Lisfranc foot injury is a midfoot injury that is named after French surgeon Jacques Lisfranc de St. Martin. He first described in the injury in the 1800s, as a member of Napoleon's army. The typical injury back then happened when a mounted soldier's foot would get in a stirrup as he got thrown off the horse. A Lisfranc injury may include a fracture of one of the midfoot bones usually the cuboid bone or one of the cuneiforms with ligamentous injury so the bones do not approximate the metatarsals correctly.
Mechanism of Lisfranc Injury
The mechanism that causes a Lisfranc injury is a high injury trauma to the midfoot. In my practice I have seen this injury in front end crashes and slip, trip and falls.
Depending the nature and extent of the fracture and the severity of dislocation from the ligament injury, the treatment can range from conservative to major operative repair. In my experience, folks who experience Lisfranc injuries have longstanding problems because the area develops post-traumatic arthritis.
Impact of Activities of Daily Living
The patients and clients that I have followed over the years experience constant pain and weakness in their foot. The folks who worked on their feet or trades people who have to climb ladders and stairs also complained of moderate disability. A frequent complaint that I have heard is a feeling that the person is going to fall over because the foot feels weak when climbing stairs or ladders.
Compensation for these Injuries
One of the difficulties in getting compensation for these injuries is explaining the long term effects to the insurance adjuster or jury. I remember a futile conversation that I had with an insurance adjuster for the “good hands” people a while ago. She argued with me that the initial x-rays did not show a fracture even though follow-up CT scans and MRI documented the fracture, ligamentous injury and dislocation. The adjuster than took the position that this injury should heal like a broken toe. When I heard that, I knew that I needed to get the file out of her hands so I just filed a lawsuit.
Lisfranc injuries following an accident can be complicated because the condition is not that common and insurance adjusters think they are doctors. If you have any questions about a Lisfranc injury following an accident, you are free to call me directly on my cell at (352) 267-9168or fill out the internet consultation form on the right.