Foot dislocation (Lisfranc Displacement)

[blaster11]

Originally Posted by ShopGuy

I'm sorry to hear about your injury, but I am glad you have posted about it.

I had surgery sept 26 for my foot and have been searching for good info since then on similar injuries but none as good as this, most are not motorcycle related. Your story is much easier to relate to, and your list of q&a from the doctor is awesome, wish I had found it sooner!

I hope you continue to update your progress, and I wish you a speedy an successful recovery!

Thanks! Your response is exactly the reason why I made this post....to help others out.

I wish you a speedy recovery as well!!

[ShopGuy]

Thanks blaster for allowing me to contribute to this thread hopefully my experience can help someone else out as well.

On July 26th my awesome wife gives me a new helmet cam for my birthday, so of course I have to try it out. Was just going for a "quick rip" and ended up not wearing my boots...what could go wrong in ten minutes? Wheelie goes wrong, bike crushes foot. Rode it home (was on a deserted back road outside of town) hobbled into the house and laid on the floor in agony, wife shaking head and rolling her eyes. "Kids, get in the car, Daddy has hurt himself again and we need to take him to the hospital"

In the ER they take an xray and Doc says it doesn't look like anything is broken, probably just badly bruised. Tells me to stay off it for 3-4 days, see my regular Dr and ice and elevate. Gives me prescription for T3's for pain.

Day 2, foot looked like this:


Day 4 I go to a walk in clinic to see a Dr for a follow up. He looks at my foot and says yes, it looks like it is badly bruised, will take a long time to heal and be sore for a long time. He tells me that if anything were broken, the radiologist from the hospital would have called me, and he recommends physio/laser therapy to help with swelling and to help promote healing.

So I go for treatment and continue to ride and go about my life like I have a sore foot that I can't put full weight on. Yeah it hurts but only if I try and "toe-off" when walking and if it is impacted. Six weeks go by and my physio therapist thinks I should be further along in my healing and requests to see my x-ray and the radiologists report. Turns out the original report said I had a suspected Lisfranc dislocation and possible fracture, but no body informed me of this.

I go to my family Dr (who I should have seen for the follow up...live and learn) and she is quite concerned that this was misdiagnosed/mishandled and gets me into see an ortho surgeon ASAP (took a week to finally get to see the right ortho)
and in the end I'm scheduled for surgery exactly 2 months from the day of injury.

Turns out I had been doing extra damage to the bones in my feet from all the walking etc. that I had been doing. Surgeon tells me that the bones are basically dust in spots and that it won't be an easy repair

Before surgery:


So after five hours of surgery and a bone graft from my hip, my new foot looked like this:


I'm in an air cast now and my next appointment with the ortho is in December. My family Dr thinks I will be out of the "boot" and walking on it after that appointment, with a lot of physio of course.

At least its winter here now and I'm not missing out on any riding

[blaster11]

Damn dude that's pretty jacked up! Sounds like you are on a solid path to recovery now. Apparently Lisfranc injuries are often misdiagnosed...unfortunately.

[Dorito]

Shopguy: You poor soul! Sadly, I don't think you are alone as it seems that the injury is often misread on the xray. Your foot looks magnificently bruised. Did it have the classic brusing on the arch (bottom) and top side of the foot?

[blaster11]

I put in a request to the mods to have the title of the thread changed to: Foot dislocation (Lisfranc Displacement), so others can find the thread more easily.

[ShopGuy]

Originally Posted by Dorito

Shopguy: You poor soul! Sadly, I don't think you are alone as it seems that the injury is often misread on the xray. Your foot looks magnificently bruised. Did it have the classic brusing on the arch (bottom) and top side of the foot?

Strangely enough the bruising seemed to be every where BUT on the arch. Looking back I should have went in sooner to have it looked at again, but I took the word of a Doctor who I later heard has part ownership in the physio clinic I was going to.

On the bright side for other residents of this fine city I live in, the ER at our hospital now has a policy that every foot injury that is suspected of this injury is booked to see the Orthopedic surgeon. They told me this on my first day back after surgery, when it looked like this:

Day 4 post surgery

[blaster11]

Damn dude! Looks similar to mine but with a lot more entry points and hardware. I assume that all your hardware is permanent?

[jguerin77]

[
So after five hours of surgery and a bone graft from my hip, my new foot looked like this:


I'm in an air cast now and my next appointment with the ortho is in December. My family Dr thinks I will be out of the "boot" and walking on it after that appointment, with a lot of physio of course.

At least its winter here now and I'm not missing out on any riding[/QUOTE]


Wow....thanks for the reminder to wear ATGATT. Hope you mend quickly!

[ShopGuy]

I assume that all your hardware is permanent?

Yes, unless something bad happens when I start to put weight on it again. Being a little accident prone anyway, it might not be a bad thing to have reinforcement in there. In my college days, a straight tequila night landed me in the hospital with a broken fibula and ankle. Fast forward to last year when I did a slow tip over on a log, leg was caught and it broke my fibula again, but the plate that was in there held it together. Cast was off in three weeks and I was walking on it again.

Can be seen here:

Wow....thanks for the reminder to wear ATGATT. Hope you mend quickly!

I always tend to learn the hard way...if someone else can learn from my lack of good judgement, I'm glad to help!

[blaster11]

OK, note to self don't ride with you. Just kidding!

[blaster11]

So I went a head and bought some boots tonight, they were almost $200.00 off so I couldn't walk away even if they are red/white. I am mainly going to use them off road and they will get dirty and ugly so I didn't really care about the color. I think its only a couple of day sale on these so if you are interested you may want to move fast. This is one of the two I was looking at earlier.
http://www.advrider.com/forums/showthread.php?t=771329

[ShopGuy]

The boots look great, just remember to wear them ;)

How's the foot doing? Are you able to move or curl your toes at all? I can just barely curl mine and it hurts like a bitch. I'm hoping that goes away with physio.

Just passed the 8 wk mark, and I'm getting quite anxious to try the foot out as 8 is supposed to be the magic number for foot bones to heal. I've been allowed by the doctors to weight on the heel only so at least I'm not on crutches :) hoping for the green light in 2 weeks...

[bigkuri]

Originally Posted by blaster11

So I went a head and bought some boots tonight, they were almost $200.00 off so I couldn't walk away even if they are red/white. I am mainly going to use them off road and they will get dirty and ugly so I didn't really care about the color. I think its only a couple of day sale on these so if you are interested you may want to move fast. This is one of the two I was looking at earlier.
http://www.advrider.com/forums/showthread.php?t=771329

Exactly what I bought (except orange on black, not white). Have used them a few rides now - they are solid. This thread was one of the big reasons I went OTT on boots...

I wear these on the road too, just BTW, they are comfortable and waterproof, and my old Daytona road boots now seem just too flimsy.

[blaster11]

Originally Posted by ShopGuy

The boots look great, just remember to wear them ;)

How's the foot doing? Are you able to move or curl your toes at all? I can just barely curl mine and it hurts like a bitch. I'm hoping that goes away with physio.

Just passed the 8 wk mark, and I'm getting quite anxious to try the foot out as 8 is supposed to be the magic number for foot bones to heal. I've been allowed by the doctors to weight on the heel only so at least I'm not on crutches :) hoping for the green light in 2 weeks...

Actually within the past few days to a week I have gotten a lot more range of motion with my three little toes. Before they would barely move and hurt, now I have a fair bit of motion and it seems to get better every day. I do work them a bit with my hand and then I just sit back and work my ankle and toes. I try to do it every morning and evening but sometimes it's just the evening. One weird thing I noticed was that if I applied pressure on the bottom of the foot under the three non-operational toes, almost like you are standing on it, then I could get my toes to curl a lot more. As my Doc said, there was a lot of damage done and it will take a while for the feeling and motion to come back...just keep working the toes.

[blaster11]

Originally Posted by bigkuri

Exactly what I bought (except orange on black, not white). Have used them a few rides now - they are solid. This thread was one of the big reasons I went OTT on boots...

I wear these on the road too, just BTW, they are comfortable and waterproof, and my old Daytona road boots now seem just too flimsy.

Thanks for the feedback on the boots and the thread, hope you never have to go through this!