Lisfranc joint injuries are one of the most rare and complex injuries and are often misdiagnosed because their symptoms present like other sprains and strains. Lisfranc fractures account for less than 1% of all foot injuries.
Lisfranc injuries occur when the midfoot is twisted when the foot is plantar-flexed, meaning that weight is being placed on the front of the foot, like a ballerina on point. Lisfranc injuries are not very common outside of sports because of the nature of the injury.
These injuries occur in the joint that connects the toes to the forefoot, however the pain and swelling typically encompasses the midfoot as well.