{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T17:12:03Z","timestamp":1782321123434,"version":"3.54.5"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Translational Sports Medicine"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>The 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 plantarflexed foot, producing ligamentous disruption or, in severe cases, fracture\u2013dislocation of the tarsometatarsal complex. Up to one\u2010third of Lisfranc injuries are initially missed, particularly in low\u2010energy mechanisms or polytrauma settings. Weight\u2010bearing radiographs are essential for detecting subtle injuries and uncovering diastasis between the medial cuneiform and the second metatarsal. The Myerson classification categorizes injuries based on joint congruity, the direction of displacement, and extent of involvement. The 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\u2010traumatic arthritis, and diminished function. Surgical techniques include open reduction and internal fixation, primary arthrodesis, bridge plating, suture button fixation, and percutaneous approaches. Lateral column injuries involving the fourth and fifth tarsometatarsal joints are advised to be treated with K\u2010wire fixation. Anatomic alignment is the strongest predictor of successful recovery and return to activity. Residual displacement &gt;\u20092\u2009mm is associated with inferior outcomes and significantly reduced return\u2010to\u2010play rates, particularly in athletes who can have lasting effects even with successful fixation and may not reach preinjury performance levels. Optimal management is yet to be determined, and inadequate fixation increases poor outcomes, underscoring the importance of early recognition, precise reduction, and appropriate fixation strategy. This study is novel and integrates recent evidence including diagnostic and prognostic utility of weight\u2010bearing, the clinical outcomes and biomechanics of treatment approaches including flexible fixation constructs such as suture button systems, and postoperative outcomes including gait analysis, return\u2010to\u2010play, and athletic performance outcomes.<\/jats:p>","DOI":"10.1155\/tsm2\/3933956","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T09:22:51Z","timestamp":1767777771000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Lisfranc Injuries: Latest Updates on Diagnostics and Management"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7459-7856","authenticated-orcid":false,"given":"Ahmad","family":"Hammad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5269-5686","authenticated-orcid":false,"given":"Yasser","family":"Ahmad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4114-5687","authenticated-orcid":false,"given":"John","family":"Abdelnour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"key":"e_1_2_16_1_2","doi-asserted-by":"publisher","DOI":"10.1177\/1938640020950133"},{"key":"e_1_2_16_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2021.110287"},{"key":"e_1_2_16_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-019-03282-1"},{"key":"e_1_2_16_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03599-w"},{"key":"e_1_2_16_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aott.2019.08.005"},{"key":"e_1_2_16_6_2","doi-asserted-by":"publisher","DOI":"10.4103\/jpgm.JPGM"},{"key":"e_1_2_16_7_2","first-page":"161","article-title":"Lisfranc Complex Injuries Management and Treatment: Current Knowledge","volume":"14","author":"Mascio A.","year":"2022","journal-title":"International Journal of Physiology, Pathophysiology and Pharmacology"},{"key":"e_1_2_16_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/24730114251352519"},{"key":"e_1_2_16_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/24730114231209767"},{"key":"e_1_2_16_10_2","first-page":"781","article-title":"Prediction of Midfoot Instability in the Subtle Lisfranc Injury: Comparison of Magnetic Resonance Imaging With Intraoperative Findings","volume":"102","author":"Raikin S. M.","year":"2020","journal-title":"Journal of Bone and Joint Surgery"},{"key":"e_1_2_16_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.10.002"},{"key":"e_1_2_16_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120988158"},{"key":"e_1_2_16_13_2","first-page":"145","article-title":"Biomechanical Evaluation of Lisfranc Ligament Complex: Implications for Fixation Strategies","volume":"44","author":"Shaw M.","year":"2023","journal-title":"Foot and Ankle International"},{"key":"e_1_2_16_14_2","first-page":"1056","article-title":"Quantitative Assessment of Lisfranc Ligament Strength and Failure Load in Cadaveric Specimens","volume":"104","author":"Panchbhavi V. K.","year":"2022","journal-title":"Journal of Bone and Joint Surgery"},{"key":"e_1_2_16_15_2","article-title":"Load-Sharing Characteristics of the Tarsometatarsal Joints: A Cadaveric and Computational Study","volume":"90","author":"Myerson M. S.","year":"2021","journal-title":"Clinical Biomechanics"},{"key":"e_1_2_16_16_2","first-page":"602","article-title":"Weight-Bearing CT-Based Finite Element Analysis of Midfoot Stress Distribution in Lisfranc Injury Models","volume":"29","author":"Alazzeh N.","year":"2023","journal-title":"Foot and Ankle Surgery"},{"key":"e_1_2_16_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-017-9387-6"},{"key":"e_1_2_16_18_2","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.4.180076"},{"key":"e_1_2_16_19_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2015.02.021"},{"key":"e_1_2_16_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/19386400241241097"},{"key":"e_1_2_16_21_2","first-page":"3910","article-title":"Diagnostic Performance and Interobserver Reliability of Weight-Bearing CT Versus MRI and Standard CT for Subtle Lisfranc Injuries","volume":"33","author":"Klauser A. S.","year":"2023","journal-title":"European Radiology"},{"key":"e_1_2_16_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/24730114211069080"},{"key":"e_1_2_16_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300061901"},{"key":"e_1_2_16_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/14574969241295585"},{"key":"e_1_2_16_25_2","first-page":"112","article-title":"Quantitative Weight-Bearing CT Parameters Improve Diagnostic Accuracy and Reproducibility in Subtle Lisfranc Instability","volume":"34","author":"Richter M.","year":"2024","journal-title":"European Radiology"},{"key":"e_1_2_16_26_2","first-page":"187","article-title":"Dorsal Bridge Plating Versus Screw Fixation for Lisfranc Injuries: A Meta-Analysis of Outcomes and Complications","volume":"29","author":"Saxena A.","year":"2023","journal-title":"Foot and Ankle Surgery"},{"key":"e_1_2_16_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/19386400231175376"},{"key":"e_1_2_16_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231186387"},{"key":"e_1_2_16_29_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2020.04.005"},{"key":"e_1_2_16_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713477635"},{"key":"e_1_2_16_31_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2022.03.002"},{"key":"e_1_2_16_32_2","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v16.i3.97830"},{"key":"e_1_2_16_33_2","first-page":"65","article-title":"Minimally Invasive and Arthroscopically Assisted Fixation of Lisfranc Joint Injuries: Current Evidence and Limitations","volume":"28","author":"Rammelt S.","year":"2023","journal-title":"Foot and Ankle Clinics"},{"key":"e_1_2_16_34_2","unstructured":"FoundationA. O. Treatment of Lisfranc Injuries 2025."},{"key":"e_1_2_16_35_2","unstructured":"The Ohio State University Wexner Medical Center Post-Operative Lisfranc Injury Clinical Practice Guideline 2025."},{"key":"e_1_2_16_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/2473011423S00191"},{"key":"e_1_2_16_37_2","doi-asserted-by":"publisher","DOI":"10.52965\/001c.132222"},{"key":"e_1_2_16_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2017.07.003"},{"key":"e_1_2_16_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2018.07.008"},{"key":"e_1_2_16_40_2","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos-2020-000477"},{"key":"e_1_2_16_41_2","doi-asserted-by":"publisher","DOI":"10.1177\/24730114211039496"},{"key":"e_1_2_16_42_2","first-page":"611","article-title":"Flexible Fixation With Suture Button Constructs for Lisfranc Injuries in Athletes: Systematic Review and Pooled Outcomes","volume":"52","author":"Patel R.","year":"2024","journal-title":"American Journal of Sports Medicine"},{"key":"e_1_2_16_43_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515616814"},{"key":"e_1_2_16_44_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516645082"},{"key":"e_1_2_16_45_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-78522013000600010"},{"key":"e_1_2_16_46_2","doi-asserted-by":"publisher","DOI":"10.1016\/s1083-7515(03)00003-2"},{"key":"e_1_2_16_47_2","first-page":"1033","article-title":"Biodegradable Magnesium Screws for Foot and Ankle Fixation: Current Evidence and Future Perspectives","volume":"29","author":"Tanaka Y.","year":"2024","journal-title":"Journal of Orthopaedic Science"}],"container-title":["Translational Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/tsm2\/3933956","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T09:22:54Z","timestamp":1767777774000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/tsm2\/3933956"}},"subtitle":[],"editor":[{"given":"Philippe","family":"Tscholl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":47,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/tsm2\/3933956"],"URL":"https:\/\/doi.org\/10.1155\/tsm2\/3933956","archive":["Portico"],"relation":{},"ISSN":["2573-8488","2573-8488"],"issn-type":[{"value":"2573-8488","type":"print"},{"value":"2573-8488","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-09-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"3933956"}}