RT Journal Article SR Electronic T1 Lisfranc fracture dislocation: a review of a commonly missed injury of the midfoot JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 52 OP 56 DO 10.1136/emermed-2015-205317 VO 34 IS 1 A1 Simon Lau A1 Michael Bozin A1 Tharsa Thillainadesan YR 2017 UL http://emj.bmj.com/content/34/1/52.abstract AB Musculoskeletal trauma to the foot is a common presentation to EDs. A Lisfranc fracture dislocation involves injury to the bony and soft tissue structures of the tarsometatarsal joint. While it is most commonly seen post high velocity trauma, it can also present post minor trauma. It is also misdiagnosed in approximately 20% of cases. These Lisfranc injuries typically present to EDs with pain particularly with weight bearing, swelling and post a characteristic mechanism of injury. Diagnosis is via clinical examination and radiological investigation—typically plain radiographs and CTs. Once diagnosed, Lisfranc injuries can be classified as stable or unstable. Stable injuries can be immobilised in EDs and discharged home. Unstable injuries require an orthopaedic referral for consideration of surgical fixation.