"The Lisfranc injury (also known as the Lisfranc fracture, Lisfranc dislocation, Lisfranc fracture dislocation, tarsometatarsal injury, or simply midfoot injury) is an injury of the foot in which one or more of the metatarsal bones are displaced from the tarsus. This type of injury is named after Jacques Lisfranc de St. Martin (2 April 1790–13 May 1847), a French surgeon and gynecologist who first described the injury in 1815, after the War of the Sixth Coalition."
Lisfranc injury sustained from sudden twisting motion on uneven ground. Arrows point to dislocations of the tarsophalangeal joints. Rare, but extremely debilitating. Mechanismis either 1. Sudden torque on the foot (a runner falling into a hole) 2. Axial loading (e.g. rugby player with forefoot fixed on ground, dorsiflexed, and another player landing on the heel), 3. Direct Trauma (dropping heavy object onto foot), usually open fractures.
The Lisfranc joint is the point at which the metatarsal bones (long bones that lead up to the toes) and the tarsal bones (bones in the arch) connect. Lisfranc injuries occur as a result of direct or indirect forces to the foot.
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.
You can sustain a lisfranc injury from a simple fall.