Leg and foot injuries are common in sports like basketball, football, and soccer (just to name a few). But you rarely hear of someone breaking their foot/leg during a NASCAR race. That’s just what happened though to 29-year old Kyle Busch. He hit a concrete wall during an Xfinity Series race at the Daytona International Speedway and was said to have broken his right leg and he also sustained a midfoot fracture of his left foot. Unfortunately, this means he will miss the highly popular Daytona 500. This injury may have been avoided had the Speedway installed the SAFER (steel-and-foam energy reduction) barrier. “We’re going to fix that. We’re going to fix that right now” said Daytona track president, Joie Chitwood.

 Motor vehicle accidents (MVA) are common causes of lower extremity injuries; especially the ones sustained by Mr. Busch. Although not common throughout the general population, midfoot fractures (also known as Lisfranc fracture dislocations) are commonly associated with MVA’s. These fractures only comprise 0.2% of all foot fractures. The midfoot joint is comprised of the bases of your metatarsal bones and your three cuneiforms and cuboid bones. The Lisfranc joint also has a Lisfranc ligament which attaches to the lateral aspect of the 1st cuneiform and the medial aspect of the base of the 2nd metatarsal bone. Once this injury occurs it is likely the patient will need to have surgical intervention as conservative treatment does not seem to work as well. There are different degrees of this injury which correlate to different surgical approaches. So, if you have sustained this type of injury please do not hesitate to call your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ. Although surgery usually helps alleviate the symptoms, post-traumatic arthritis usually occurs in all patients with this type of fracture.

 Lower extremity injuries are most common in high impact sports or sports that involve lots of cutting and jumping. Although this isn’t the case in NASCAR, they are traveling at speeds exceeding 200mph so if they do crash I would expect to see them injure some part of their body. From everyone here at AFACare, we would like to send our condolences to the Busch family and hope he has a speedy recovery.

 By Nrupa Shah