fightvova.blogg.se - Lisfranc fx

It may be ordered in cases where the diagnosis may be in doubt.Ĭomputerized tomography scan (CT ) scan. This test is not required to diagnose a Lisfranc injury. These studies can create better images of soft tissues like the tendons. The doctor sometimes may take x-rays of your uninjured foot, either for comparison or to determine the stability of the joint. Injuries will not be made worse from a standing (weightbearing) x-ray, nor will an injury that might be treated without surgery progress to need surgery if this test is done. In this case, the doctor is looking for a ligament injury, especially if the bones are not expected to be broken. If the injury happened after a simple twist and fall (a low-energy injury), the doctor may ask that an x-ray be taken with the patient standing. Any change in the normal joint may suggest injury to the ligaments. An x-ray also can show the alignment of the Lisfranc joint.

Broken bones (fractures) and the position of the bones can be seen in an x-ray picture. Other tests that the doctor may order to help confirm your diagnosis include: This test should not cause pain in your uninjured foot. The doctor may ask you to stand on one foot and come up on "tip toes." This places significant stress across the midfoot and is useful if the injury is subtle. This puts stress across the midfoot and will produce pain if there is an injury. The doctor may grasp your toes and move them up and down to determine whether this causes pain. This should not cause pain in your uninjured foot. The doctor may grasp your heel and twist the front of your foot to determine whether there is pain at the midfoot.

Pain with a stress examination of the midfoot.

Tenderness to pressure (palpation) along the midfoot.

This suggests a complete tear of the midfoot ligaments or a midfoot fracture.

Bruising along the bottom of your foot.

Specific things your doctor will look for include: Although some of the physical tests the doctor will perform may be painful, none of them will make the injury worse.

Running Assessment With Stride EvaluationĪfter talking with you about your symptoms and discussing your concerns, your doctor will examine your foot and ankle.

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