J Orthop Sports Phys Ther. 2016 Jun;46(6):494. doi: 10.2519/jospt.2016.0408.
The patient was a 20-year-old female ultimate frisbee player who felt a "pop" in her left foot with resultant pain and bruising along the plantar aspect of her midfoot. She was seen by an orthopaedic physician, who ordered standard radiographs that were found to be unremarkable. Although initial non-weight-bearing films were normal, these findings do not rule out tarsometatarsal joint injury. Following presentation to physical therapy 4 months after the initial injury, the patient was referred to a sports medicine physician. Weight-bearing radiographs and magnetic resonance imaging were ordered and confirmed a high-grade Lisfranc ligament tear. J Orthop Sports Phys Ther 2016;46(6):494. doi:10.2519/jospt.2016.0408.
患者为 20 岁女性极限飞盘运动员,感觉左脚“砰”的一声,随后出现疼痛和足中部跖侧瘀斑。她就诊于矫形医师,行标准 X 线检查未见明显异常。尽管初始不负重 X 线片正常,但这些结果并不能排除跖跗关节损伤。初次受伤后 4 个月就诊于物理治疗,随后转至运动医学医师。行负重 X 线和磁共振成像检查,证实存在高级别的跖跗韧带撕裂。J Orthop Sports Phys Ther 2016;46(6):494. doi:10.2519/jospt.2016.0408.