hy do equestrians suffer deadly Lisfranc injuries to their feet? Discover the mysterious cause of this injury

Equestrian athletes face many potential risks when training and competing, among which Lisfranc injury is a relatively little-known but potentially fatal risk. This injury occurs in the midfoot and occurs when one or more metatarsal bones move away from the navicular bone (tarsus), causing severe pain and loss of function. Understanding the causes of this injury is critical to improving safety.

Lisfranc injuries were first described in 1815 by French surgeon Jacques Lisfranc, who noticed a common fracture pattern among cavalrymen in combat.

Causes of Lisfranc Injury

In equestrian sports, riders' feet are often exposed to high levels of kinetic energy, particularly when falling or making contact with the ground in an unexpected manner. For example, a Lisfranc injury can occur when a rider falls off a horse but his feet are still restrained in the harness.

The main causes of this kind of injury include the following aspects:
  • Direct injury, such as a heavy object falling on the foot.
  • Indirect damage, such as when the foot is subjected to strong rotational force during twitching.
  • High-intensity turns or sudden stops in competitive sports, which are particularly common in equestrian sports.

Diagnosis of Lisfranc Injury

Diagnosing a Lisfranc injury usually involves an X-ray, but in certain low-energy accidents, the injury can be difficult to detect. This is particularly common in equestrian athletes, who may experience only mild discomfort after a fall without significant deformity or swelling.

Correct diagnosis is crucial for post-injury management, especially in low-energy accidents, and doctors need to remain highly alert.

If initial X-rays don't show obvious changes, your doctor may recommend magnetic resonance imaging (MRI) or computerized tomography (CT) to confirm the injury. In some fortunate cases, doctors will rely on clinical symptoms, such as inability to bear weight and localized swelling, to help with the diagnosis.

Treatment of Lisfranc Injury

Depending on the severity of the injury, treatment may be surgical or nonsurgical. For more minor injuries, a few weeks of cast and limited weight bearing may be all that is needed, while more severe cases often require surgery to realign the bones and provide stabilization.

Research shows that early surgical intervention is critical to an athlete's recovery because untreated Lisfranc injuries can lead to long-term loss of function and chronic pain over time.

In the surgical treatment of Lisfranc injuries, open reduction and internal fixation (ORIF) is a commonly used technique, which can effectively reduce potential future complications. After surgery, the injured person usually needs several weeks of rehabilitation to gradually regain full function.

Risks of Equestrian Sports and How to Prevent Them

Due to the particularity of equestrian sports, riders face an increased risk of Lisfranc injuries, so it is particularly important to conduct adequate prevention and risk assessment in advance. This includes wearing proper footwear and strengthening skills training to reduce the likelihood of falls and injuries.

However, even the most careful rider cannot completely avoid all risks. In recent years, some common accidents in horse racing and their consequences have brought attention to these injuries. Many athletes are beginning to take the potential consequences of this injury seriously and its impact on their careers.

Conclusion

Therefore, as equestrian sports become more popular, riders should be more aware of the potential risk of Lisfranc injuries. Does the increase in the number of people experiencing this pain and disability mean that the sports world needs to reconsider the need for safety precautions?

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