Lim WanYin, Heysen Jonathan, Ilic James, Beamond Ben, Zadow Steven
Dr Jones and Partners Medical Imaging, 226 Greenhill Road, Eastwood, South Australia 5063, Australia.
Radiology Department, Royal Adelaide Hospital, 1 Port Rd, South Australia 5000, Australia.
Case Rep Orthop. 2022 Feb 10;2022:1030829. doi: 10.1155/2022/1030829. eCollection 2022.
Lisfranc injury is increasingly being recognised in the high-performance athletic cohort, particularly in contact sports. In this cohort, there is a pattern of low-energy Lisfranc injury which combines magnetic resonance findings of both ligamentous sprain and adaptive bone stress response that infers a longer timeframe of stress than the duration of symptoms would suggest. This has not been previously described, and the authors believe that this is an unrecognized subset of midfoot sprain in the context of sustained stress to the midfoot. This retrospective case report describes MRI findings of three index cases of this entity in professional athletes presenting with acute foot pain. Two responded with conservative management whilst the third ultimately required surgery. All athletes were eventually able to return to play.
跖跗关节损伤在高水平运动员群体中越来越受到重视，尤其是在接触性运动中。在这个群体中，存在一种低能量跖跗关节损伤模式，其结合了韧带扭伤和适应性骨应力反应的磁共振成像结果，这表明应力作用的时间框架比症状持续时间所显示的更长。此前尚未有过此类描述，作者认为这是中足持续受力情况下中足扭伤的一个未被认识的亚组。本回顾性病例报告描述了三名职业运动员因急性足部疼痛就诊时该病症的首例病例的磁共振成像结果。两名患者采用保守治疗后康复，而第三名最终需要手术治疗。所有运动员最终都能够重返赛场。
