Lisfranc Injury in the Athlete.

Abstract

* Lisfranc injuries sustained during athletics may be subtle and may be associated with poor outcomes if inadequately identified and treated.* Accurate diagnosis may involve a combination of weight-bearing radiographs, weight-bearing computed tomography (CT), magnetic resonance imaging (MRI), and/or intraoperative stress examination to determine whether surgical fixation is necessary.* Nonoperative treatment may be indicated in certain cases that demonstrate radiographic stability with weight-bearing images. A period of non-weight-bearing leads to better outcomes with nonoperative treatment.* Operative fixation is associated with a high likelihood of full return to sport. Plate fixation may be superior to screw fixation with regard to reduction, risk of arthritis, and need for secondary arthrodesis.* Open reduction and internal fixation is a suitable treatment option for the Lisfranc injury in the athlete, although successful outcomes and return to athletics are also demonstrated after a primary arthrodesis.