Mulcahy Hyojeong
Department of Radiology, University of Washington, Seattle, WA, USA.
Radiol Clin North Am. 2018 Nov;56(6):859-876. doi: 10.1016/j.rcl.2018.06.003. Epub 2018 Sep 17.
Lisfranc injuries range from sprain to fracture-dislocation. Radiologists must have a thorough understanding of anatomy, mechanisms, and patterns of these injuries to diagnose and help clinicians assess treatment options and prognosis. The initial imaging evaluation of patients with a suspected Lisfranc injury consists of non-weight-bearing radiographs. In patients with high-energy injuries, the diagnosis is straightforward, and patients usually undergo CT for surgical planning. In patients with low-energy injuries, when findings on initial radiographs are equivocal, further evaluation is performed with weight-bearing radiographs, CT, or MR imaging. Stable injuries are treated conservatively, whereas all other injuries require surgical interventions.
跖跗关节损伤范围从扭伤到骨折脱位。放射科医生必须对这些损伤的解剖结构、机制和类型有透彻的了解，以便进行诊断并帮助临床医生评估治疗方案和预后。疑似跖跗关节损伤患者的初始影像评估包括非负重X线片。对于高能损伤患者，诊断明确，患者通常接受CT检查以进行手术规划。对于低能损伤患者，当初始X线片结果不明确时，需通过负重X线片、CT或磁共振成像进行进一步评估。稳定型损伤采用保守治疗，而所有其他损伤则需要手术干预。
