Common tarsometatarsal (Lisfranc) injury patterns

Common injury patterns of the Lisfranc joint are pictured above. The second through fifth metatarsals are connected by transverse ligaments, but the first metatarsal is not attached to the second metatarsal via a transverse ligament, which contributes to the first metatarsal's propensity to displace when the TMT ligaments are injured.