Yamamoto H, Furuya K, Muneta T, Ishibashi T
Department of Orthopaedics, Tokyo Medical and Dental University, Japan.
J Orthop Trauma. 1992;6(1):129-31.
A 34-year-old man presented with a deformed and painful foot 14 months after surgery for a Lisfranc's dislocation; the procedure had been done elsewhere. Radiographs showed a lateral dislocation of the Lisfranc's joint that had not been reduced. At the time of reexploration, the split anterior tibial tendon was displaced between the medial and middle cuneiform bones, which was blocking reduction. After placing the anterior tibial tendon into its normal position, the reduction remained incomplete because of a deformed articular surface. Arthrodesis of the Lisfranc's joint was then performed. In a lateral dislocation of the Lisfranc's joint, which is irreducible by manipulation, an interposition of the anterior tibial tendon should be suspected.
一名34岁男性在因Lisfranc关节脱位接受手术后14个月，出现足部畸形且疼痛；手术在其他地方进行。X线片显示Lisfranc关节外侧脱位，未得到复位。再次探查时，胫前肌腱劈裂移位至内侧楔骨和中间楔骨之间，阻碍了复位。将胫前肌腱放回正常位置后，由于关节面畸形，复位仍不完全。随后进行了Lisfranc关节融合术。在手法复位无法成功的Lisfranc关节外侧脱位中，应怀疑存在胫前肌腱嵌入。
