Yeoh Joey, Muir Kenneth Ross, Dissanayake Ajith Munasinghe, Tzu-Chieh Wendy Yu
Department of Endocrinology and Diabetes, Centre for Clinical Research and Effective Practice, Room 33, Support Building, Middlemore Hospital, Auckland, New Zealand.
Cases J. 2008 Oct 31;1(1):290. doi: 10.1186/1757-1626-1-290.
The Lisfranc injury is relatively uncommon yet remains popular in the literature due to its variable causative mechanisms and subtleties in radiographic features despite its potential for disabling long term outcomes if treatment is inadequate, inappropriate or delayed. These injuries are especially pertinent in diabetic patients, especially those with neuropathy, since they are more common, can lead to Charcot neuropathic joint, ulcers and have different causative mechanisms compared to the general population. We describe the case of a neuropathic diabetic patient who presented with a Lisfranc injury which precipitated the development of acute Charcot arthropathy in the right foot. The case serves to illustrate several salient points about the Lisfranc joint and related injuries in diabetic patients.
Lisfranc损伤相对少见，但在文献中却备受关注，这是因为其致病机制多样，影像学特征细微，而且如果治疗不充分、不恰当或延迟，可能导致长期致残后果。这些损伤在糖尿病患者中尤为相关，特别是那些患有神经病变的患者，因为他们更为常见，可导致夏科神经关节病、溃疡，并且与普通人群相比，致病机制有所不同。我们描述了一例患有神经病变的糖尿病患者，该患者出现Lisfranc损伤，进而引发了右足急性夏科关节病。该病例有助于阐明关于糖尿病患者Lisfranc关节及相关损伤的几个要点。
