This injury is a both a fracture and dislocation to the middle of the foot. This is a very important area of the foot as there are a group of small bones that form the arch shape of the foot. These bones are connected to each other in this arch shape by a group of ligaments called the Lisfranc ligaments. Injuries to these bones and Lisfranc ligaments are often caused by falls, twisting injuries, or heavy objects dropping on the foot. The most common problem that can develop in the long-term after these injuries is arthritis in the middle of the foot.