Lattermann Christian, Goldstein Jordan L, Wukich Dane K, Lee Simon, Bach Bernard R
Orthopaedic Sports Medicine Kentucky Clinic, University of Kentucky, Lexington, KY, USA.
Clin J Sport Med. 2007 Jul;17(4):311-5. doi: 10.1097/JSM.0b013e31811ed0ba.
Foot injuries are common in athletes. Injuries to the midfoot and, particularly, the Lisfranc joint are less common, but they have a high risk of ending the athlete's season or even career. Lisfranc injuries can be difficult to diagnose, and they often lead to a disastrous outcome when missed. Weight-bearing radiographs of the foot are recommended to confirm the diagnosis, although advanced imaging also may be required. Lisfranc injuries with less than 2 mm of diastasis on weight-bearing radiographs can be treated without weight bearing in a short leg cast or a walking boot for 6 weeks. Lisfranc injuries with more significant displacement or instability require operative intervention. Physicians who evaluate athletic injuries should be vigilant not to miss these injuries. Familiarity with the subtle clinical signs of a Lisfranc injury and knowledge of the basic treatment algorithm will help clinicians manage these injuries successfully.
足部损伤在运动员中很常见。中足损伤，尤其是Lisfranc关节损伤相对少见，但却有很高的风险导致运动员赛季甚至职业生涯的终结。Lisfranc损伤可能难以诊断，一旦漏诊往往会导致灾难性后果。建议拍摄足部负重X线片以确诊，不过有时可能还需要进行高级影像学检查。负重X线片显示分离小于2毫米的Lisfranc损伤，可通过短腿石膏或步行靴不负重治疗6周。移位或不稳定更明显的Lisfranc损伤则需要手术干预。评估运动损伤的医生应保持警惕，避免漏诊这些损伤。熟悉Lisfranc损伤的细微临床体征以及基本治疗方案，将有助于临床医生成功处理这些损伤。
