Low-Energy Lisfranc Injuries in an Athletic Population: A Comprehensive Review of the Literature and the Role of Minimally Invasive Techniques in Their Management

Foot Ankle Clin. 2018 Dec;23(4):679-692. doi: 10.1016/j.fcl.2018.07.014. Epub 2018 Sep 24.


Tarsometatarsal (TMT) joint complex injuries can be caused by either direct or indirect injuries. The Lisfranc joint represents approximately 0.2% of all fractures. Up to 20% of these injuries are misdiagnosed or missed on initial radiographic assessment; therefore, a high index of suspicion is needed to accurately diagnose TMT joint injuries and avoid the late sequelae of substantial midfoot arthrosis, pain, decreased function, and loss of quality of life. This review discusses the anatomy, diagnosis, and management of athletic Lisfranc injuries, including a description of the preferred minimally invasive surgical techniques used by the senior author of this article.

Keywords: Arthroscopy; Lisfranc injuries management; Midfoot fusion; Minimally invasive surgery; Open reduction and internal fixation.

Publication types

  • Review

MeSH terms

  • Arthrodesis*
  • Athletic Injuries / diagnosis
  • Athletic Injuries / surgery*
  • Foot Joints / injuries*
  • Fracture Fixation*
  • Humans
  • Intra-Articular Fractures / diagnosis
  • Intra-Articular Fractures / etiology
  • Intra-Articular Fractures / surgery*
  • Minimally Invasive Surgical Procedures*