- Lisfranc injury is a tarsometatarsal fracture dislocation characterized by traumatic disruption between the articulation of the medial cuneiform and base of the second metatarsal
- Easily missed on radiographs
- May take form of purely ligamentous injuries or fracture-dislocations
- Hardcastle & Myerson classification
- For stable injuries treat non operatively with POP
- Operative management : closed reduction and percutaneous pinning or open reduction and internal fixation
- Rarely resort to arthrodesis of 1st and 2nd tarsometatarsal joints or midfoot arthrodesis.
- Anatomic reduction is the most important goal of the treatment of injuries of the tarsometatarsal joint complex, quality of the reduction has been shown to correlate with the outcome.
