Injuries to the tarsometatarsal joint complex, also known as the Lisfrancjoint, are relatively uncommon. However, the importance of an accurate diagnosiscannot be overstated. These injuries, especially when missed, may result inconsiderable long-term disability as the result of posttraumatic arthritis.A high level of suspicion, recognition of the clinical signs of injury, andappropriate radiographic studies are needed for correct diagnosis. When surgeryis indicated, closed reduction with percutaneous screw fixation should beattempted. If reduction is questionable, open reduction should be performed.Screw fixation remains the traditional fixation technique.