Matt Schaub Injury: Texans QB Has Lisfranc Injury, May Be Out For Season

Matt Schaub Injury: Texans QB Has Lisfranc Injury, May Be Out For Season – Houston Texans QB Matt Schaub has a Lisfranc injury. This clearly places Schaub’s 2011 season in jeopardy, and the major concerns for the remainder of Schaub’s career and beyond will be whether the injury heals sufficiently to prevent chronic pain and stiffness of the foot.

Matt Schaub Injury: Texans QB Has Lisfranc Injury, May Be Out For Season

The Lisfranc joint is the point at which the metatarsal bones (the long bones that lead up to the toes) and the tarsal bones (the bones in the arch, which include the cuneiform bones) connect. The Lisfranc ligament is a tough band of tissue that joins two of these bones. Lisfranc injuries occur as a result of trauma to the midfoot. In the case of a football player, a Lisfranc injury most commonly occurs when the forefoot is planted on the ground with the heel in the air. There are three types of Lisfranc injuries, which sometimes occur together:

Sprains: The Lisfranc ligament, as well as other ligaments on the bottom of the midfoot, are stronger than the ligaments on the top of the midfoot. Fractures: A break in a bone in the Lisfranc joint can be either an avulsion fracture (a small piece of bone is pulled off) or a break through the bone or bones of the midfoot.

Texans QB Has Lisfranc Injury, May Be Out For Season

A Lisfranc injury is initially diagnosed based on the history and description of the injury. A patient may describe the immediate onset of pain in the midfoot region. Over the course of the ensuing days, swelling and bruising often occurs, and on a physical exam, the injured patient will be tender over Lisfranc’s joint.

Any suspected injury should be evaluated studied initially with x-rays of the foot. MRI in particular is helpful in detailed evaluation of the ligaments, and it can see bruising in the small bones of the foot, which indicates an acute injury.

If testing determines that the injury is stable, with the bones still in their proper orientation, a Lisfranc injury may be treated with a period of non-weightbearing followed by gradual return to normal activites. For a stable Lisfranc injury, treatment begins with a period of immobilization either in a removable boot or frequently a cast that includes the foot and the leg below the knee (a short leg cast). If the injury is unstable, or even if the suspicion is there for it to be unstable, then surgical treatment is warranted. The timing of surgery depends on the amount of swelling and the status of the skin overlying the injured foot. Surgery typically involves rigidly stabilizing the injured joints. The specific midfoot joints that are stabilized depend on the specific ligaments that are injured and may vary somewhat on a case-by-case basis. Postoperatively following a typical Lisfranc joint repair, the patient must be non-weightbearing on the operative foot for about 6-8 weeks.

At some point, once the torn ligaments have been given sufficient time to heal, the screws used to fix the Lisfranc injury are removed to allow normal motion and function to take place in the midfoot region. The greatest concerns following treatment of a Lisfranc injury are whether the patient can regain his pre-injury mobility and, over time, whether arthritis of the joint may occur. The biggest issue Schaub may face on the field is due to the fact that, as a right-handed quarterback, he plants with his right foot when setting up to throw.


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