ALJohani Hamid T, Alfadhil Rheema, Ismael Lina, Alturaisi Sarah O, Aldalati M Zahir F, Alahaideb Abdulaziz
Orthopaedic Surgery, King Saud Medical City, Riyadh, SAU.
Orthopaedic Surgery, King Saud University, Riyadh, SAU.
Cureus. 2022 May 23;14(5):e25238. doi: 10.7759/cureus.25238. eCollection 2022 May.
Lisfranc injuries are relatively rare, accounting for only 0.2% of all injuries. It is even rarer to have this injury bilaterally, and not many case reports have been published on this topic. In this report, we present a case of a bilateral Lisfranc injury in a healthy 17-year-old woman that fell from a flight of stairs landing on both feet. The diagnosis was made by weight-bearing x-rays and computed tomography. Weight-bearing x-rays showed a subtle Lisfranc injury in the right foot with widening between the first and second rays and a disruption involving the overlapping bases of the lesser metatarsals as well as a left comminuted fracture of the proximal third and fourth metatarsals (MT) with intra-articular extension at the proximal fourth MT. CT scan of the right foot showed a fracture of the lateral margin of the medial cuneiform with a displaced bony fragment as well as a comminuted fracture of the third and fourth metatarsals with intra-articular extension and no dislocation. Surgical management, in the form of open reduction and internal fixation, was undertaken for both feet in the same setting. She had an expected course postoperatively and has been doing well, with no pain nor limitation in her activity at her six-month postoperative visit. Moreover, we present a brief review of similar published cases and an overview of Lisfranc injuries.
跖跗关节损伤相对少见，仅占所有损伤的0.2%。双侧发生这种损伤更为罕见，关于这一主题的病例报告也不多。在本报告中，我们介绍了一例双侧跖跗关节损伤的病例，患者为一名17岁健康女性，从一段楼梯上摔落，双脚着地。诊断通过负重X线片和计算机断层扫描做出。负重X线片显示右足存在细微的跖跗关节损伤，第一和第二跖骨间增宽，小跖骨重叠基底处中断，以及左足第三和第四跖骨近端粉碎性骨折，第四跖骨近端有骨折块进入关节内。右足CT扫描显示内侧楔骨外侧缘骨折，有移位骨块，第三和第四跖骨粉碎性骨折，骨折块进入关节内但无脱位。在同一情况下对双足进行了切开复位内固定的手术治疗。术后过程顺利，术后6个月随访时她情况良好，无疼痛，活动也无受限。此外，我们简要回顾了已发表的类似病例，并对跖跗关节损伤进行了概述。
