A Lisfranc injury is an uncommon, but potentially debilitating, foot injury in sports.
This is an injury in which a ligament in the midfoot is injured. When the Lisfranc ligament is ruptured, the first and second metatarsals (the long bones of the midfoot) or other bones in the midfoot can separate.
In sports, it usually occurs with a twisting motion to the foot or landing on the foot with the ankle plantarflexed.
Treatment depends on its severity. A sprain of the Lisfranc ligament with no separation of the midfoot bones usually can be treated nonoperatively. Even a mild injury often requires the athlete to be in a boot or cast for up to 6 weeks. Often the surgeon will keep the athlete non-weight bearing to prevent worsening of the injury. If there is significant displacement of the bones, surgery to align the bones and hold them with one or two screws is performed.
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