The extent and patterns of Lisfranc joint complex disruption in subtle Lisfranc injuries have not been well clarifed. We reviewed the direct intraoperative fndings for 87 patients, examined computed tomography images that had been obtained preoperatively for 73 of the patients, and classifed the injuries according to the Kaar et al. criteria as the transverse type (instability between the frst cuneiform [C1] and the second metatarsal [M2] and between the second cuneiform [C2] and M2) or longitudinal type (instability between C1 and M2 and between C1 and C2). Our patients’ injuries were classifed as follows:​ longitudinal type (38%), transverse type (30%), transverse type and frst tarsometatarsal (TMT) joint injury (20%), longitudinal type plus transverse type (7%), longitudinal type and frst TMT joint injury (3%), and longitudinal type, transverse type, and frst TMT joint injury (2%). In 11 patients, the longitudinal injury extended into the naviculo-frst cuneiform joint. In 41 (56%) of the 73 patients for whom CT images were obtained, 1 or more fractures (not counting small avulsion fragments between C1 and M2) were found. Orthopedic surgeons should be aware of the various injury patterns possible in cases of subtle Lisfranc injury