Yu de fil shap pen na di tap pat pan yu leg? I kin bi wan Lisfranc Injury!

Sɔntɛnde, ivin sɔntin we kin apin we i tan lɛk se na smɔl tin kin tɔn to big prɔblɛm, nɔto so? Imajin se yu de fred fɔ waka dɔŋ wan stej ɛn yu mis wan stɛp, ɔ yu trip ɛn twist yu anklɛ wantɛm wantɛm we yu de ple kriket wit yu padi dɛn. If di tכp pat pan yu leg, dat na di pat we de kכmכt na di brij to di fut finga dεm, de mek yu fil pen bad bad wan, i swεla, εn i kin ivin blu, yu kin gεt wan kכndyushכn we dεn kכl Lisfranc Injury. Dis na sɔntin we wi fɔ tek tɛm wit, bikɔs if dɛn nɔ trit am fayn, i kin mek wi gɛt prɔblɛm leta. So lɛ wi tɔk mɔ bɔt dis, nɔto so?

Wetin na Lisfranc Injuri?

fכ simpul wan, na di tכp pat pan yu fut, usay yu gεt di lכng bon dεm we de kכnekt to yu fut dεm (wi kכl dεn ``Mεtatarsal bon dεm'' ), di jכint we de kכnεkt dεn bon dεm ya to di כda sכm bon dεm (tarsal bon dεm) we de na di midul pan yu fut dεn kכl am di Lisfranc jכint . I tan lɛk smɔl brij. eni damej pan dis joyn – if na frakshכn, dislokeshכn, כ we tεr כ strεn na di ligament dεm (strכng bכnd dεm we de ol bon dεm togeda) we de rawnd di joyn – dεn kin tek am se na Lisfranc Injury.

Imajin di Kandy rod as wan big jɔnkshɔn we yu de go na Kɔlɔmbɔ. If da jɔnkshɔn de ambɔg, di wan ol trafik go ambɔg, nɔto so? di sem we, dis Lisfranc jכint rili imכtant fכ mek wi fut wok fayn fayn wan. If dis smɔl ples nɔ de wok fayn, yu nɔ go jɔs gɛt prɔblɛm fɔ waka, rɔn, jomp, bɔt yu go jɔs gɛt prɔblɛm fɔ jɔs tinap.

Difrɛn kayn dis sik de?

Yes, dis Lisfranc joyn kin sheb to difrεn tכp dεm dipכnt pan aw i dכn pwεl. Dat min se, dis klasification de bays pan us pat pan yu joyn bin damej ɛn aw di damej bin apin.

• Lisfranc dislocation: Dis na we di bon dεm na di joyn de shift frכm wan ples to כda wan, jכs lεk tu sεt dεm fכ rel rod we de shift.
• Lisfranc fracture: Dis na wan patikyula kayn fut we brok. Wan ɔ mɔ bon dɛn na di Lisfranc jɔyn kin brok. Sɔntɛnde, dɛn kin brok to smɔl smɔl.
• Lisfranc sprain / Ligament tear: Dis na we di ligament dεm we de rawnd di joyn dεn strεch pasmak, כ pat כ kכmplit. I tan lɛk se rɔba band de snap we yu pul am tumɔs.

Sɔntɛnde, wan ɔ mɔ pan dɛn kayn tin ya kin apin togɛda. Fɔ ɛgzampul, we pɔsin brok, i kin kam wit di ligamɛnt we kin te.

Wetin na di sayn dɛm fɔ dis? Aw i kin fil if i apin?

We yu gɛt Lisfranc Injury, di sayn dɛm kin apia na yu fut in tap, nia usay yu tay yu shuz. Chek fɔ si if yu gɛt ɛni wan pan dɛn tin ya:

• Brus ɛn kɔlɔ we de chenj: Di pat pan di leg kin tɔn blu ɔ pepul. Mɔtalman, sɔm pipul dɛn kin notis bak se di fut dɔn brus . Dis na wan kwaliti fɔ wan Lisfranc Injury.
• Bɔrku pen na yu leg: De pen kin bi wae yu nɔr kin ebul fɔ bia, mɔ wae yu de tray fɔ tinap, waka, ɔr muv yu leg. Sɔm pipul dɛn kin fil lɛk se dɛn de chuk dɛn ɔ bɔn dɛn ivin we dɛn jɔs tinap.
• Swel: Di tap pat pan di leg, ɛn sɔntɛnde di wan ol fut kin swel bad bad wan, lɛk we dɛn de blo balyɔn.
• I nɔ kin izi fɔ put wet pan yu fut: Fɔ tinap ɔ waka wit yu fut na grɔn kin rili at. Sɔm pipul dɛn nɔ kin ebul fɔ put dɛn fut na grɔn atɔl.

If yu gɛt wan ɔ mɔ pan dɛn sik ya, nɔ jɔs dismis am as sɔntin we simpul, okay?

Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?

Bɔku tɛm, aksidɛnt kin mek pɔsin wund na Lisfranc. Fɔ tɔk am simpul wan, we dɛn prɛs di fɔs pat pan di fut (tɔ sayd) pan grɔn, if di il sayd twist ɔ tɔn wantɛm wantɛm, dis Lisfranc jɔyn kin pwɛl.

• Fɔdɔm ɛn Slip: Dis kin apin frɔm tin dɛn lɛk fɔ fɔdɔm na stej, fɔ slip pan sɔntin lɛk ɔyl, fɔdɔm na pɔt, ɛn ɔda tin dɛn Sɔntɛnde, ivin if yu trip smɔl we yu de step ɔf kɔba, dis kin apin.
• Spɔt injuri: Dis jɔyn kin wund we i chenj in dairekshɔn wantɛm wantɛm, jomp, ɔ rɔsh wit ɔda pɔsin, mɔ pan spɔt lɛk futbɔl, rɔgbi, ɛn baskɛtbɔl. Sɔm pleya dɛn kin twis dɛn ɔpa bɔdi if dɛn klit dɛn stɔp na grɔn.
• Dairekt trauma: Tin dɛm lɛk fɔ gɛt ebi ebi tin fɔdɔm na yu leg (e.g., brik, ebi bɔks), fɔ mek yu leg stɔp pan motoka aksidɛnt, ɔ fɔ fɔdɔm frɔm ayt (e.g., frɔm lada) kin mek dis jɔyn bad bad wan bak.

Imajin, Nilanthi Akka bin de waka dɔŋ di stej na os ɛn twist in leg afta i mis di las step. I bin tink se na simpul sprain. Bɔt ivin afta tu ɔ tri dez, di pen ɛn swɛlin nɔ bin stɔp. Na we i sho am to di dɔktɔ nɔmɔ i kam fɔ no se na Lisfranc Injury.

Udat dɛn kin gɛt am mɔ? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Ɛnibɔdi, pan ɛni ej, kin gɛt Lisfranc injury. Bɔt sɔm pipul dɛn kin gɛt prɔblɛm smɔl.

• Pipul wae gɛt kɔndishɔn wae de pwɛl dɛn fut ɔr nɔr de fil fayn na dɛn fut:Dis risk kin pasmak fɔ pipul dɛm wae gɛt shuga (`(Diabetes Mellitus)`). Bikɔs dayabitis kin mek di nεv dεm na di fut wik (`(diabetes-related neuropathy)`). Dɔn di filin we de na di fut dɛn kin stɔp. Ivin smɔl wund nɔ kin fil fayn, so i kin gro ɛn divɛlɔp to disorder lɛk dis. כlso, dayabεtis kin mek di bכdi we de fכm di fut dεm dכn dכn (`dayabεtis-rilayt fut kכndishכn`).
• Pipul dɛn we de du wok we nɔ izi fɔ dɛn bɔdi: Pipul dɛn we de wok na kɔnstrɔkshɔn biznɛs, we de es wet, ɛn di wan dɛn we tinap ɔl di de, de pan denja.
• Pipul dɛn we de ple kɔmpitishɔn ɔ kɔntakt spɔt: As wi bin dɔn tɔk, dɛn kin si dis pan futbɔl ɛn rɔgbi pleya dɛn.
• Dɛn kin tɔk bak se sɔm pipul dɛn kin gɛt smɔl prɔblɛm if dɛn bɔn dɛn wit ay arch fut.

Wetin go apin if dɛn nɔ trit dis fayn? Yu tink se di prɔblɛm dɛn we kin apin kin denja?

Dis na sɔntin we wi nid fɔ pe atɛnshɔn to gud gud wan. Lisfranc injuri, if dɛn nɔ trit am fayn ɛn kwik, i kin mek i gɛt siriɔs prɔblɛm leta. Nɔ jɔs tink se, "Na jɔs wan sprain, i go wɛl fɔ insɛf."

Mɛmba: Lisfranc Injury, mɔ di wan we gɛt frakt, kin mek yu fil pen fɔ lɔng tɛm ɛn i nɔ kin wok fayn na yu fut if dɛn nɔ trit am fayn.

Di men prɔblɛm dɛn we kin apin na:

• At: We di saf pat pan di joyn we afɛkt we dɛn kɔl katilej dɔn pwɛl, as tɛm de go, at kin kam. Di jɔyn kin swel, i kin stif, ɛn i kin fil pen.
• Pen wae nɔr de dɔn: Pan ɔl wae dɛn kin tink se de sik "de wɛl," sɔm pipul kin kɔntinyu fɔ gɛt pen. Dis pen kin kam wae yu de waka ɔr de woke.
• di arch dεm we kכlaps εn כda fut dεm we de fכm: di Lisfranc jכint de εp fכ mεnten di arch na di fut. we dis joyn dכn pwεl, as tεm de go di arch na di fut kin kכlכp εn di fut kin flat. Di shep fɔ di fut kin chenj bak.
• Compartment Syndrome: Dis na wan sik wae nɔr kin bɔrku bɔt wae kin siriɔs. di prεshכn we de insay di tisu dεm na di leg kin bכku, we kin kכt di blכd saplai. Dis nid fɔ gɛt tritmɛnt kwik kwik wan.

Aw dɔktɔ kin no bɔt dis? Us tɛst dɛn kin du?

We yu go to dɔktɔ we gɛt pen na yu leg, di fɔs tin we i go aks yu na aw i apin, wetin yu bin de du we i bigin fɔ at, ɛn aw yu de fil naw. I rili impɔtant fɔ mek yu tɛl am di rayt tin we apin.

Dɔn di dɔktɔ go tek tɛm chɛk yu leg.

• Chek fɔ si if yu swel ɛn brus.
• Dɛn kin tɔch difrɛn pat dɛn na di fut, ɛn dɛn kin tray fɔ no usay di pen de.
• Dɛn kin chɛk aw di fut kin tinap tranga wan. Sɔntɛnde, di dɔktɔ go tɔch yu fut jisnɔ fɔ si if di bon dɛn de muv ɔ if ɛnitin de muv we nɔmal.

Afta di fyzikal egzamin, dɛn kin du wan ɔ mɔ imej tɛst, lɛk dɛn wan ya, fɔ kɔnfirm ɛksaktɔli wetin nɔ rayt:

• X-ray fɔ di fut: Dis na di fɔs tin we yu fɔ luk fɔ. I kin chɛk fɔ si if di bon dɛn brok, di joyn dɛn dɔn kɔmɔt na di say we dɛn de, ɔ if di bon dɛn we de bitwin di bon dɛn chenj. Sɔntɛnde, yu dɔktɔ kin aks yu fɔ tinap wit wet na yu fut (wan ɛkstrem rayt we de sho yu wet). Sɔm Lisfranc injury dɛn nɔ de si pan X-ray we nɔ gɛt wet na di fut.
• MRI (Magnetic Resonance Imaging) skan: Dis kin si klia wan se di ligamɛnt, di katilej, ɛn di sɔft tisu dɛn dɔn pwɛl. I kin no bak smɔl smɔl bon dɛn we brok we yu nɔ kin si pan ɛkstrem rayt.
• CT (Computed Tomography) skan: Dis kin ɛp fɔ si di damej we di bon dɛn dɔn pwɛl, ɛn aw di bon dɛn brok (espɛshali if dɛn brok dɛn to bɔku bɔku pat dɛn), we yu si am klia wan, we gɛt tri dimɛnshɔnal (3D). Bɔku tɛm, dɛn kin du dis bifo dɛn du di ɔpreshɔn.

Aw dɛn kin trit am? Wetin dɛn kin du?

Bɔku tritmɛnt dɛn de fɔ Lisfranc injury. Yu dɔktɔ go disayd us tritmɛnt fayn fɔ yu bay aw di injuri bad, aw fa di bon dɛn dɔn kɔmɔt, ɛn di damej we di ligamɛnt dɛn dɔn pwɛl.

• Ays ɛn ɛlevɛt di leg (RAIS - Rɛst, Ays, Kɔmpreshɔn, Ɛlevɛshɔn): Dis na di fɔs tin fɔ du.
• Rɛst: Rɛst yu leg. Nɔ mek yu nɔ ebul fɔ waka ɛn tinap as yu ebul.
• Ays: Tray fɔ mek yu leg ɔp pas yu at as yu ebul. Yu kin kip am ɔp wit pilo. Rap wan ays pak wit tin klos ɛn put am na di say we yu wund fɔ lɛk 15-20 minit. Du dis bɔku tɛm insay di de. Nɔ put ays dairekt pan di skin, bikɔs i kin bɔn di skin.
• Kɔmpreshɔn: Di dɔktɔ kin se yu fɔ put ɛlastik bandej fɔ kɔntrol di swɛlin.
• Ɛlevɛshɔn: Kip yu leg dɛn ɛlevɛt pas di lɛvɛl na yu at wit pilo. Dis go ɛp fɔ ridyus di swɛlin.

• Immobilizayshɔn fɔ di leg:
• If di injuri nɔ tu siriɔs, we min se di bon nɔ tu fa frɔm in ples, yu dɔktɔ kin put but ɔ kɔst pan yu leg. Dis go las fɔ lɛk 6 to 8 wiks. I nɔ fayn fɔ put ɛni wet pan yu leg insay dis tɛm. Yu go nid fɔ yuz stik fɔ waka. Dis go ɛp fɔ ridyus di wet na yu leg, kip di jɔyn in ples, ɛn stɔp yu fɔ put tumɔs wet pan yu leg.

• Lisfranc ɔpreshɔn: .
• Bɔku Lisfranc injury, mɔ if di bon dɛn dɔn displace ɔ di joyn nɔ stebul, dɛn kin nid ɔpreshɔn. Di dɔktɔ we de du di ɔpreshɔn go mek yu Lisfranc jɔyn, muv di bon dɛn bak na dɛn ples, ɛn put tin dɛn lɛk plet ɛn skru insay yu fut fɔ mek dɛn ol dɛn na dɛn ples.
• Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ nɔ de bia yu wet fɔ lɛk wan ɔ tu mɔnt so. Afta dat, yu go nid fɔ wɛr but ɔ kɔst fɔ sɔm mɔnt.
• We di jɔyn dɔn wɛl, bɔku tɛm afta 4-6 mɔnt, di dɔktɔ kin du ɔda smɔl ɔpreshɔn fɔ pul di pin ɛn hadwɔd we dɛn bin dɔn put insay. Nɔto ɔlman dɔn pul dɛn tin ya, na di dɔktɔ fɔ disayd.

• Di tin dɛn we dɛn kin yuz fɔ mɛn pen: Yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu nɔ fil pen ɛn fɔ mek yu nɔ swel. Yu kin yuz ɔva-di-kɔnta nɔ-stɛroyd anti-inflammatory drɔgs (NSAID) (e.g., ibuprofen, diclofenac) ɔ acetaminophen (e.g., acetaminophen). Bɔt, chɛk wit yu dɔktɔ bifo yu tek dɛn tin ya fɔ pas 10 dez. Yu dɔktɔ kin gi yu bak wan mɛrɛsin we strɔng pas am fɔ mɛn yu pen. Yu dɔktɔ go tɛl yu aw ɔltɛm fɔ tek dɛn ɛn aw ɔltɛm fɔ tek dɛn.

Aw lɔng i kin tek fɔ mek i wɛl?

I kin tek sɔm mɔnt, ɔ ivin wan ia, fɔ mek Lisfranc injuri wɛl ɛn fɔ mek yu ebul fɔ go bak to nɔmal aktiviti ɛn spɔt. Dis kin rili difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan bɔku tin dɛn, lɛk us kayn injury yu gɛt, aw i bad, if dɛn du ɔpreshɔn pan yu, yu ej, ɛn yu jenɛral wɛlbɔdi.

Di tin we impɔtant pas ɔl na fɔ mek ɔlman in bɔdi wɛl difrɛn we. So tɔk to yu dɔktɔ bɔt yu tritmɛnt schedule ɛn aw fɔ wɛl. Rɛst, tek yu mɛrɛsin dɛn, ɛn ɛksesaiz lɛk aw yu dɔktɔ tɛl yu fɔ du.

• Tritmεnt dεm we nכ de du כpεrayshכn: di lεg go כlwayz nכ de muv (insay but/kas) fכ lεk 6 to 8 wik. Afta dat, yu go nid fɔ du sɔm fizik tɛrapi (PT) . Wan dɔktɔ we de mɛn yu bɔdi go ɛp yu smɔl smɔl fɔ mek yu ebul fɔ muv bak, yu gɛt trɛnk, ɛn balans yu leg jɔyn dɛn.
• Lisfranc ɔpreshɔn: Yu go nid fɔ wɛr but ɔ kast fɔ lɛk 3 to 4 mɔnt afta yu dɔn ɔpreshɔn. Yu dɔktɔ go tɛl yu ustɛm yu kin bigin fɔ put wet pan yu leg ɛn ustɛm yu kin bigin fɔ tek fizik tɛrapi (PT). PT na wan rili impɔtant pat pan dis.

Yu kin waka wit Lisfranc Injury?

Yu kin ebul fɔ waka smɔl we yu gɛt Lisfranc injury, mɔ if di injury nɔ tu bad. Bɔt if yu gɛt pen ɔ ɔda sayn dɛn, nɔ fos yu leg.If yu kɔntinyu fɔ yuz yu leg da we de, chans de fɔ mek ivin smɔl injuri go siriɔs ɛn nid fɔ du ɔpreshɔn. I impɔtant fɔ peshɛnt te i wɛl fayn fayn wan.

We yu wɛr but ɔ kast, yu kin ebul fɔ waka lɛk aw yu dɔktɔ tɛl yu fɔ waka (i kin bi se yu kin waka wit kruk). Bɔt dɛn fɔ avɔyd fɔ du bɔku tin dɛn lɛk fɔ rɔn, jomp, ɛn fɔ es wet. Aks yu dɔktɔ ɔr pɔsin we de mɛn yu bɔdi wetin yu fɔ avɔyd ɛn wetin yu go du te yu wɛl.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sɔm sayn dɛm fɔ Lisfranc injuri (lɛk di pen ɛn swel we wi bin dɔn tɔk bɔt) ɛn dɛn nɔ de bɛtɛ afta sɔm dez we yu dɔn rɛst ɛn ays, yu fɔ rili go to dɔktɔ kwik kwik wan. Ɛspɛshali if:

• If yu nɔ ebul tinap wit yu leg dɛn we ebi.
• If yu nɔ ebul fɔ waka fayn.
• If i tan lɛk se di fut in shep dɔn chenj.
• If brus de na di fut in fut.

If di sik kam bak ɔ wɔs afta yu nɔ muv ɔ ɔpreshɔn, if yu gɛt fiva, ɔ if pus de kɔmɔt na di wund, tɛl yu dɔktɔ wantɛm wantɛm.

Di mɛsej we impɔtant pas ɔl fɔ kɛr go na os!

Tink bɔt am, sɔntɛm yu jɔs rol yu leg dɔŋ wan stej, ɔ sɔntɛm yu wund pan big aksidɛnt lɛk motoka aksidɛnt. Ilɛk wetin mek, if yu gɛt pen we nɔ kɔmɔn, swel, ɔ brus na yu leg, i bɛtɛ fɔ go to dɔktɔ kwik kwik wan pas fɔ dismis am as “jɔs wan sprain.”

Lisfranc Injury, mɔ di wan we gɛt Lisfranc fraktrɔs, kin mek yu gɛt siriɔs prɔblɛm (lɛk pen we nɔ de dɔn ɛn at at sik) we kin afɛkt yu layf leta if dɛn nɔ trit yu kwik kwik wan.

So, if yu gɛt prɔblɛm wit yu fut, tek kia ɔf am. If yu go to dɔktɔ wantɛm wantɛm, dat go ɛp yu fɔ wɛl kwik ɛn nɔ go gɛt prɔblɛm dɛn tumara bambay. Yu fut dɛn rili impɔtant to yu, so tek kia ɔf dɛn!

` Lisfranc Injuri, fut pen, leg dizayd, joyn dislocation, bon frakt, fut swel