Injuries of the tarsometatarsal joint complex, though not common in athletes, can cause prolonged disability. The severity of these injuries often is not recognized, since subtle subluxations are difficult to diagnose. Certain radiographic signs help make the diagnosis;​ fluoroscopy with anesthesia may be necessary to determine the stability of the joint. Casting is sufficient for patients who have stable injuries, but those who have an unstable joint require open reduction and internal fixation.