Lisfranc joint injuries

Injuries to the tarsometatarsal (Lisfranc's) joint can be difficult injuries to diagnose. Some authors report that up to 20% of injuries are wrongly diagnosed. There remains controversy as to adequacy of closed reduction and fixation compared to open reduction with anatomical reduction and fixation. This article considers the anatomy, mechanism of injury, clinical diagnosis, radiological evaluation, classification, treatment and outcome of this injury pattern.