Lisfranc Injury in the Athlete

Abstract

Lisfranc injuries refer to a disruption or destabilization of the Lisfranc joint complex or tarsometatarsal joint complex. These injuries are relatively rare; however, clinical signs are subtle with the injury diagnosis frequently missed. A delay in diagnosis can negatively impact the patient’s outcome with sequelae ranging from post-traumatic osteoarthritis to a dysfunctional foot. Therefore, evaluating midfoot injuries requires a high index of suspicion and thorough examination for a tarsometatarsal joint complex injury to allow for maximal return of function and rapid return to sport. The mechanism of Lisfranc injuries in athletes tend to be relatively low-energy which differs from more common higher-energy injuries such as car accidents. Most importantly, identifying and treating Lisfranc injuries requires understanding of the structural anatomy and stability of the midfoot.