[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-458924-105":59,"doc-detail-458924-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","lisfranc-injuries-latest-updates-on-diagnostics-and-management","Lisfranc Injuries: Latest Updates on Diagnostics and Management","","Lisfranc injuries disrupt the tarsometatarsal midfoot complex, commonly arising from axial or rotational load on a plantarflexed foot, and are frequently missed at first presentation, especially after low-energy trauma or in polytrauma. The review summarizes key diagnostic strategies, emphasizing the role of weight-bearing radiographs for subtle diastasis and describing classification systems based on alignment and displacement. Treatment selection is guided by ligament stability, with nonoperative care limited to nondisplaced cases and surgery including fixation or arthrodesis. Anatomic alignment and minimal residual displacement are highlighted as the strongest predictors of recovery, return to activity, and reduced adverse outcomes.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/lisfranc-injuries-latest-updates-on-diagnostics-and-management/458924/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/lisfranc-injuries-latest-updates-on-diagnostics-and-management/458924.png","ImageObject",300,407,{"name":92,"@type":93},"A glass of water","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What loading mechanism most commonly leads to Lisfranc injuries?","Question",{"text":112,"@type":113},"Lisfranc injuries often result from axial or rotational loads applied to a plantarflexed foot, producing ligamentous disruption or, in severe cases, fracture-dislocation of the tarsometatarsal complex.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Why are weight-bearing radiographs important in diagnosing Lisfranc injuries?",{"text":117,"@type":113},"They are essential for detecting subtle injuries and for revealing diastasis, particularly between the medial cuneiform and the second metatarsal, which can be missed on other imaging approaches.",{"name":119,"@type":110,"acceptedAnswer":120},"How does residual displacement affect outcomes after treatment?",{"text":121,"@type":113},"Residual displacement greater than 2 mm is linked to inferior outcomes and significantly reduced return-to-play rates, even when fixation is successful.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},458924,1790812186,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":41,"preview_page_count":4},962090760832,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Wiley  \nTranslational Sports Medicine  \nVolume 2026, Article ID 3933956, 12 pages [https://doi.org/10.1155/tsm2/3933956](https://doi.org/10.1155/tsm2/3933956)  \nReview Article  \nLisfranc Injuries: Latest Updates on Diagnostics and Management  \nAhmad Hammad , Yasser Ahmad , and John Abdelnour   \nDepartment of Orthopedics Surgery, American University of Beirut Medical Center, Beirut, Lebanon  \nCorrespondence should be addressed to John Abdelnour; [jabdelnoor@gmail.com](jabdelnoor@gmail.com)  \nReceived 10 September 2025; Revised 8 November 2025; Accepted 18 December 2025  \nAcademic Editor: Philippe Tscholl  \nCopyright © 2026 Ahmad Hammad et al. Translational Sports Medicine published by John Wiley & Sons Ltd. Tis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.  \nTe Lisfranc ligamentous complex is the principal stabilizer of the tarsometatarsal joint and functions as the midfoot keystone. Injuries often follow an axial or rotational load applied to a plantarfexed foot, producing ligamentous disruption or, in severe cases, fracture–dislocation of the tarsometatarsal complex. Up to one-third of Lisfranc injuries are initially missed, particularly in low-energy mechanisms or polytrauma settings. Weight-bearing radiographs are essential for detecting subtle injuries and uncovering diastasis between the medial cuneiform and the second metatarsal. Te Myerson classifcation categorizes injuries based on joint congruity, the direction of displacement, and extent of involvement. Te decision to pursue conservative or surgical treatment depends on the Lisfranc ligament stability and displacement. Nonoperative management is appropriate only in nondisplaced injuries; delayed treatment can result in persistent midfoot pain, arch collapse, post-traumatic arthritis, and diminished function. Surgical techniques include open reduction and internal fxation, primary arthrodesis, bridge plating, suture button fxation, and percutaneous approaches. Lateral column injuries involving the fourth and ffth tarsometatarsal joints are advised to be treated with K-wire fxation. Anatomic alignment is the strongest predictor of successful recovery and return to activity. Residual displacement > 2 mm is associated with inferior outcomes and signifcantly reduced return-to-play rates, particularly in athletes who can have lasting efects even with successful fxation and may not reach preinjury performance levels. Optimal management is yet to be determined, and inadequate fxation increases poor outcomes, underscoring the importance of early recognition, precise reduction, and appropriate fxation strategy. Tis study is novel and integrates recent evidence including diagnostic and prognostic utility of weight-bearing, the clinical outcomes and biomechanics of treatment approaches including fexible fxation constructs such as suture button systems, and postoperative outcomes including gait analysis, return-to-play, and athletic performance outcomes.  \nKeywords: arthrodesis; bridge plating; Lisfranc injury; orthopedics surgery; surgery; tarsometatarsal joint  \n1. Introduction and Anatomy  \nAnatomical vulnerability is due to the absence of a transverse intermetatarsal ligament between the frst and second metatarsals. Te Lisfranc ligamentous complex (LLC) originates from the plantar medial cuneiform (C1) and inserts into the medial base of the second metatarsal (M2) and is the principal stabilizer of the tarsometatarsal (TMT) joint, particularly the articulation between the C1 and the base of M2 [1] . Tis articulation forms a mortise confguration that locks the midfoot and preserves transverse arch integrity [1, 2] . Tis structural arrangement prevents lateral  \nor medial translation and functions as the keystone of the midfoot [2, 3] .  \nTe LLC is composed of three primary ligaments: the dorsal (DLL), interosseous (ILL) commonly","cbCaiqxTKRgtUrOZ","https://ap.wps.com/l/cbCaiqxTKRgtUrOZ","pdf",539311,12,"English","# 1. Introduction and Anatomy\n## Ligamentous complex and midfoot stability\n## Injury classification and challenges in detection\n## Treatment aims and decision-making","[{\"question\":\"What loading mechanism most commonly leads to Lisfranc injuries?\",\"answer\":\"Lisfranc injuries often result from axial or rotational loads applied to a plantarflexed foot, producing ligamentous disruption or, in severe cases, fracture-dislocation of the tarsometatarsal complex.\"},{\"question\":\"Why are weight-bearing radiographs important in diagnosing Lisfranc injuries?\",\"answer\":\"They are essential for detecting subtle injuries and for revealing diastasis, particularly between the medial cuneiform and the second metatarsal, which can be missed on other imaging approaches.\"},{\"question\":\"How does residual displacement affect outcomes after treatment?\",\"answer\":\"Residual displacement greater than 2 mm is linked to inferior outcomes and significantly reduced return-to-play rates, even when fixation is successful.\"}]","Lisfranc Injuries: Latest Updates on Diagnostics and Management | PDF",1790754773]