# From Missed Diagnosis to Optimal Outcomes: A Comprehensive Review of Lisfranc Injuries

## TL;DR

This paper reviews Lisfranc injuries, their diagnosis challenges, and treatment options to improve patient outcomes.

## Contribution

The paper provides a comprehensive review of Lisfranc injuries, emphasizing early recognition and proper management strategies.

## Key findings

- Lisfranc injuries are often missed in initial emergency department evaluations.
- Delayed treatment can cause chronic pain and midfoot arthritis.
- Appropriate management ranges from conservative to surgical approaches based on injury severity.

## Abstract

Lisfranc injuries are traumatic disruptions of the tarsometatarsal joint complex. Injuries range from subtle ligamentous injuries to significant fracture dislocations. These relatively uncommon injuries are frequently missed during the initial presentation in emergency departments. Delayed or inadequate treatment can lead to chronic pain, midfoot arthritis, and significant functional disability. Early recognition and appropriate management of Lisfranc injuries are crucial for achieving optimal outcomes. Treatment strategies range from conservative management for stable injuries to surgical intervention for displaced or unstable injuries.