U.S. Soccer Player Sidelined with Painful Lisfranc Injury

After a brutal tackle in a recent game against Honduras that resulted in a caution for the opposing player, L.A. Galaxy attacking midfielder Sebastian Lletget suffered a foot injury that took him out for the rest of the game.

Lletget’s original diagnosis was a strained foot. However, when the foot was reexamined by team and league physicians, they determined that the damage is a much more serious

Lisfranc injury.

What Is a Lisfranc Injury?

This uncommon injury is named after the doctor who first identified it while treating patients during the Napoleonic Wars.

There are 26 bones in each foot, including the metatarsal bones which attach to the toes. In a Lisfranc injury, one or more of the metatarsals either become dislocated from the midfoot bones or are fractured. Torn ligaments in the same area may also be called a Lisfranc injury.

Athletes who play soccer or football or who windsurf or snowboard may endure trauma that can cause this injury. Other types of trauma that may result in a Lisfranc injury include having the foot run over by a car or falling from a height.

How We Diagnose and Treat a Lisfranc Injury

If you have serious foot pain that makes it hard to walk, please call Stavros O. Alexopoulos, DPM right away. Your foot may be more painful when you stand or walk, and you may notice swelling on the top of the foot as well as bruising on both the top and bottom.

After a complete examination of your foot, we’ll take x-rays to confirm the diagnosis. In the absence of any broken bones or torn ligaments, R.I.C.E. treatment should relieve the pain and swelling. R.I.C.E. stands for Rest your foot, Ice the area, use a Compression bandage and Elevate the leg. You must avoid weight-bearing activities for at least six weeks.

Surgery may be necessary if we discover more damage like that in a Lisfranc injury. This surgery aims to repair the broken bones into their correct position and to realign the joint. You’ll need some physical therapy after the surgery to strengthen your foot and improve function.

Unfortunately, the U.S. and L.A. Galaxy soccer teams will have to do without their starter until after he completely recovers from surgery. Lletget is expected to be out of the game for 4-6 months.

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