Hung Joshua L P, Chan Samson C F
Resident, Department of Orthopaedics and Traumatology, Tseung Kwan O Hospital, Hong Kong, China.
Chief Foot and Ankle Surgeon, Department of Orthopaedics and Traumatology, Tseung Kwan O Hospital, Hong Kong, China.
J Foot Ankle Surg. 2016 Mar-Apr;55(2):314-6. doi: 10.1053/j.jfas.2014.09.039. Epub 2014 Oct 31.
Cuneiform dislocation associated with Lisfranc injury is a very rare injury. Dislocation over the midfoot due to a seizure has not been previously reported in published studies. A 35-year-old female presented with an intercuneiform dislocation and Lisfranc fracture-dislocation after a generalized seizure. Immediate close reduction of the dorsally dislocated cuneiforms was performed, followed by definitive treatment to restore the foot arches. A proposed underlying pathophysiology of dislocation due to seizure in terms of the biomechanics is discussed. The purpose of our report was to present the unusual etiology of this form of cuneiform dislocation and Lisfranc joint complex injury.
楔骨脱位合并Lisfranc损伤是一种非常罕见的损伤。既往发表的研究中尚未报道过因癫痫发作导致的中足脱位。一名35岁女性在全身性癫痫发作后出现楔骨间脱位和Lisfranc骨折脱位。对背侧脱位的楔骨立即进行了闭合复位，随后进行了恢复足弓的确定性治疗。从生物力学角度讨论了癫痫发作导致脱位的潜在病理生理学机制。我们报告的目的是介绍这种楔骨脱位和Lisfranc关节复合体损伤的不寻常病因。
