# Tarsometatarsal (Lisfranc) joint injuries

Tarsometatarsal (Lisfranc) joint injuries

- Injuries to the midfoot are associated with signiﬁcant morbidity ranging from a midfoot sprain to complete rupture of the liga - ments connecting the forefoot to the midfoot. Injury classically follows forced plantarﬂexion of  the midfoot. An alternative - mechanism of  injury are crush injuries where the foot is f orced ﬂat by a heavy weight. Lisfranc’s ligament connects the second metatarsal to the medial cuneiform. Poorly treated injuries to the midfoot lead to signiﬁcant morbidity and, if suspected, - a CT of the foot should be undertaken. Treatment options range from closed reduction and plaster cast application to - open reduction and internal ﬁxation. In severe cases primary tarsometatarsal fusion may be considered. Tarsometatarsal (Lisfranc) joint injuries

- Injuries to the midfoot are associated with signiﬁcant morbidity ranging from a midfoot sprain to complete rupture of the liga - ments connecting the forefoot to the midfoot. Injury classically follows forced plantarﬂexion of  the midfoot. An alternative - mechanism of  injury are crush injuries where the foot is f orced ﬂat by a heavy weight. Lisfranc’s ligament connects the second metatarsal to the medial cuneiform. Poorly treated injuries to the midfoot lead to signiﬁcant morbidity and, if suspected, - a CT of the foot should be undertaken. Treatment options range from closed reduction and plaster cast application to - open reduction and internal ﬁxation. In severe cases primary tarsometatarsal fusion may be considered. Tarsometatarsal (Lisfranc) joint injuries

- Injuries to the midfoot are associated with signiﬁcant morbidity ranging from a midfoot sprain to complete rupture of the liga - ments connecting the forefoot to the midfoot. Injury classically follows forced plantarﬂexion of  the midfoot. An alternative - mechanism of  injury are crush injuries where the foot is f orced ﬂat by a heavy weight. Lisfranc’s ligament connects the second metatarsal to the medial cuneiform. Poorly treated injuries to the midfoot lead to signiﬁcant morbidity and, if suspected, - a CT of the foot should be undertaken. Treatment options range from closed reduction and plaster cast application to - open reduction and internal ﬁxation. In severe cases primary tarsometatarsal fusion may be considered.