Hong Kong Journal of Orthopaedic Surgery

Volume 5 Number 1, April 2001
Abstract

Current concept review on Lisfranc injuries

Chan SCF, Chow SP1
Department of Orthopaedics and Traumatology, Tseung Kwan O Hospital; and
1Department of Orthopaedic Surgery, Queen Mary Hospital, The University of Hong Kong, Hong Kong.

Injuries of the tarsal-metatarsal joints are known as Lisfranc injuries. Direct Lisfranc injuries are generally caused by a crush injury to the mid-foot, whereas indirect injuries occur by twisting-for example, after falling from a height or walking into a hole in the ground. As many as 20% of such injuries may be missed by routine X-ray. In this article, we review the anatomy, classification, diagnosis, treatment, complications, and prognosis of Lisfranc injuries, to alert surgeons, particularly trauma surgeons, tothe radiological signs and management of this type of injury. (Hong Kong j. orthop. surg. 2001;5(1):75-80)

列士弗蘭克氏創傷的現代概念綜述

陳智輝、周肇平

跗蹠關節創傷被稱為列士弗蘭克氏(Lisfranc)創傷。列士弗蘭克氏創傷一般直接由壓擊引致足底中部受傷,或間接由扭傷引,如從高處墮下或被地面凹陷處絆倒。列士弗蘭克氏創傷的報導雖不常見,但實際有近百分之二十的病例未能從一般X射線檢驗中顯示出來。本文嘗試從解剖學、分類、診斷、併發症、及預後等不同層面作討論,從而提醒外科醫生,特別是創傷科醫生,注意此類創傷的X射線照片徵象及其處理。


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