Journal List > J Korean Foot Ankle Soc > v.20(3) > 1043384

J Korean Foot Ankle Soc. 2016 Sep;20(3):106-111. Korean.
Published online September 06, 2016.
Copyright © 2016 The Korean Foot and Ankle Society. All rights reserved.
Lisfranc Joint Injury
Myoung Jin Lee,
Department of Orthopaedic Surgery, College of Medicine, Dong-A University, Busan, Korea.

Corresponding Author: Myoung Jin Lee. Department of Orthopaedic Surgery, College of Medicine, Dong-A University, 32 Daesingongwon-ro, Seo-gu, Busan 49201, Korea. Tel: 82-51-240-5167, Fax: 82-51-254-6757, Email:
Received July 19, 2016; Revised August 23, 2016; Accepted August 24, 2016.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


The Lisfranc joint complex is an anatomical association of many bones and articulation, restrained by an even more complex network of ligaments, capsules, and fascia, which must work in concert to provide normal and painless motion. Careful diagnostic workup with high-quality radiographs and computed tomography of the foot are used to diagnose injuries and fractures of this complex. We have to understand the normal anatomy and injury mechanism in order to appropriately treat Lisfranc injuries. Good results have been associated with anatomic reductions of all bones, which was achieved with restoration of proper alignment.

Keywords: Lisfranc injury; Lisfranc joint


Figure 1
Direct mechanisms of Lisfranc injuries. Application of a direct force (A) dorsally to the base of the metatarsals can elicit plantar disruption of the Lisfranc joint (B). Application of the dorsal force (C) slightly more proximally can create a dorsal dislocation (D).
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Figure 2
The second intermetatarsal space (solid line) aligns itself precisely with the corresponding intertarsal space between the middle and lateral cuneiforms. The third intermetatarsal space (dotted line) is continuous with the corresponding intertarsal space between the lateral cuneiform and cuboid, and the lateral border of the third metatarsal aligns itself to the lateral edge of the lateral cuneiform.
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Figure 3
First, second, third tarsometatarsal joints were fixed with screws and fourth, fifth tarsometatarsal joints were fixes with Kirschner wires.
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Financial support:None.

Conflict of interest:None.

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