与高速雪橇损伤相关的Lisfranc骨折脱位的罕见表现：一例病例报告及文献复习
Unusual presentation of Lisfranc fracture dislocation associated with high-velocity sledding injury: a case report and review of the literature.
作者信息
Benejam Christopher E, Potaczek Steven G
机构信息
Augustana College, Rock Island, IL, USA.
出版信息
J Med Case Rep. 2008 Aug 11;2:266. doi: 10.1186/1752-1947-2-266.
INTRODUCTION
Lisfranc fracture dislocations of the foot are rare injuries. A recent literature search revealed no reported cases of injury to the tarsometatarsal (Lisfranc) joint associated with sledding.
CASE PRESENTATION
A 19-year-old male college student presented to the emergency department with a Lisfranc fracture dislocation of the foot as a result of a high-velocity sledding injury. The patient underwent an immediate open reduction and internal fixation.
CONCLUSION
Lisfranc injuries are often caused by high-velocity, high-energy traumas. Careful examination and thorough testing are required to identify the injury properly. Computed tomography imaging is often recommended to aid in diagnosis. Treatment of severe cases may require immediate open reduction and internal fixation, especially if the risk of compartment syndrome is present, followed by a period of immobilization. Complete recovery may take up to 1 year.
引言
足部Lisfranc骨折脱位是罕见的损伤。最近的文献检索显示，没有与雪橇运动相关的跗跖（Lisfranc）关节损伤的报道病例。
病例介绍
一名19岁的男大学生因高速雪橇运动损伤导致足部Lisfranc骨折脱位，被送往急诊科。患者立即接受了切开复位内固定术。
结论
Lisfranc损伤通常由高速、高能量创伤引起。需要仔细检查和全面测试以正确识别损伤。通常建议进行计算机断层扫描成像以辅助诊断。严重病例的治疗可能需要立即进行切开复位内固定，特别是如果存在骨筋膜室综合征的风险，随后进行一段时间的固定。完全恢复可能需要长达1年的时间。
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