Here is how the American Academy of Orthopaedic Surgeons defines a Lisfranc injury:
Lisfranc (midfoot) injuries result if bones in the midfoot are broken or ligaments that support the midfoot are torn. The severity of the injury can vary from simple to complex, involving many joints and bones in the midfoot.
A Lisfranc injury is often mistaken for a simple sprain, especially if the injury is a result of a straightforward twist and fall. However, injury to the Lisfranc joint is not a simple sprain that should be simply "walked off." It is a severe injury that may take many months to heal and may require surgery to treat.
It also may cause one to fumble. Oddly enough, not referred to as the "Lisfranc Screw." (Go ahead, Google it.)
And if one needs surgery? One cannot put weight on the foot and leg for 2 months. Think muscle shrinkage. "Some athletes never return to their pre-injury levels of sport after these injuries. Despite excellent surgical reduction and fixation, arthritis may occur from the damage to the cartilage. This may result in chronic pain and may require fusion in the future."
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