In plain language
Injury to the midfoot tarsometatarsal ligament-joint complex, sometimes with fracture or dislocation.
Clinical Significance & Management
They can reveal separation hidden on non-weight-bearing views. A clinician should decide whether loading is safe; do not force standing through severe pain. CT or MRI may be needed, with the foot protected meanwhile.
Symptoms & Clinical Presentation
Midfoot pain, swelling or plantar bruising
Etiology & Injury Mechanisms
- Twisting or axial loading of the foot
Diagnostics & Imaging Guide
Examination and weight-bearing imaging; CT or MRI when needed
Treatment Options
Protection for stable injuries; surgical assessment for instability
Rehabilitation Milestones & Timeline
Rehabilitation depends on the diagnosis, procedure and associated injuries. Progression requires assessment of healing, symptoms and function; elapsed time or a single test cannot determine readiness for sport.
Progressive rehabilitation
Progress loading and push-off after stability or healing is confirmed
Evidence-Based Clarifications
Walking ability does not exclude instability.
Sources & References
Educational clinical definitions synthesized from AAOS, Cleveland Clinic, Mayo Clinic, and HSS. Individual diagnosis and surgery require professional medical evaluation.
Publication date
Content updated