A direct vertical force, such as from a knee or shoulder, exerted onto the heel of a fully planted and plantarflexed foot can cause hyper-plantarflexion and subsequent disruption of the Lisfranc ligament. The same mechanism can cause hyperextension and disruption of the plantar capsular ligament complex of the first metatarsophalangeal joint (ie, "turf toe").
Reproduced with permission from Wolters Kluwer Health, Inc.: Latterman C, Goldstein JL, Wukich DK, et al. Practical management of Lisfranc injuries in athletes. Clin J Sport Med 2007; 17:311. Copyright © 2007 Lippincott Williams & Wilkins, Inc.
https://journals.lww.com/cjsportsmed/pages/default.aspx.
