Injuries of the tarsal-metatarsal joints are known as Lisfranc injuries. Direct Lisfranc injuries are generally caused by a crush injury to the mid-foot, whereas indirect injuries occur by twisting–for example, after falling from a height or walking into a hole in the ground. As many as 20% of such injuries may be missed by routine X-ray. In this article, we review the anatomy, classification, diagnosis, treatment, complications, and prognosis of Lisfranc injuries, to alert surgeons, particularly trauma surgeons, to the radiological signs and management of this type of injury.