The diagnosis and management of the Lisfranc joint injury is a complicated and sometimes frustrating endeavor. Some consensus exists on the diagnosis of Lisfranc injuries; however, the proper management of these subtle injuries is still debated and poorly reported. This case review highlights a unique management of a stage III Lisfranc injury, in that the athlete was able to successfully return to full participation after 3 weeks of rest and conservative, nonsurgical treatment.