Lisfranc injuries are a challenging diagnosis for the sports physical therapist because of the lack of data on how to rehabilitate them properly. To date, the available rehabilitation literature has focused on the mechanism of injury and the conservative management of this injury. Furthermore, there is a lack of consensus on the appropriate testing and return to play criteria for an athlete recovering from this perplexing injury. This case describes a high school athlete whose primary sport was football, but was injured during wrestling. He suffered a Lisfranc injury and subsequently underwent surgical fixation. The purpose of this case report is to focus on the exercise, functional progression, and return to sport criteria utilized after operative treatment of a Lisfranc ligament injury.

Level of Evidence:​ V