Lisfranc Injuries in Sport

Lisfranc complex problems represent a broad spectrum of injuries. There should be a high index of suspicion of this injury, and prompt diagnosis is important to allow athletes to return to their sport with the best possible outcome. Nonoperative treatment is reserved for stage I sprains. The goal of operative treatment is to achieve a stable anatomic reduction. In non or minimally displaced injuries, reduction may be performed percutaneously; however, if a perfect reduction cannot be obtained, formal ORIF is recommended. Primary arthrodesis should be reserved as a salvage procedure for complex injuries with intra-articular comminution or significant displacement. A gradual return to athletics with sports-specific training is important to prevent reinjury. Despite appropriate treatment, subjective outcomes may not parallel the radiographic outcomes, and patients should be aware of the severity of the injury.