injuries poisoning
Fracture Dislocation of the Midfoot (Lisfranc Injury)
Key Points
Lisfranc injuries (fracture-dislocation) involve disruption of≥1 ligaments that stabilize the midfoot, sometimes disrupting≥1 tarsometatarsal joints. Complications (eg, compartment syndrome, chronic pain, disability) may be serious. Because x-ray findings may be subtle, stress x-rays or CT may be needed. Refer patients to an orthopedic surgeon; usually, ORIF or fusion of the midfoot is required. 