Effective detection and management of low-velocity Lisfranc injuries in the emergency setting Principles for a subtle and commonly missed entity

被引：0

作者：

Mayich, D. Joshua ^{[2
]}

Mayich, Michael S. ^{[1
]}

Daniels, Timothy R. ^{[3
]}

机构：

[1] Mem Univ Newfoundland, Dept Diagnost Imaging, St John, NF, Canada

[2] Univ Toronto, Dept Orthoped Surg, Toronto, ON M5S 1A1, Canada

[3] St Michaels Hosp, Dept Orthoped Surg, Toronto, ON M5C 1R6, Canada

来源：

CANADIAN FAMILY PHYSICIAN | 2012年 / 58卷 / 11期

关键词：

TARSOMETATARSAL JOINT; FRACTURE-DISLOCATION; MIDFOOT SPRAINS; OPEN REDUCTION; CLASSIFICATION; ARTHRODESIS; RADIOGRAPHY; FIXATION; LIGAMENT; FOOT;

D O I：

暂无

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective To improve the ability of primary care physicians to recognize the mechanisms and common presentations of low-velocity Lisfranc injuries (LFIs) and to impart an improved understanding of the role of imaging and principles of primary care in low-velocity LFIs. Sources of information A MEDLINE literature review was performed and the results were summarized, reviewing anatomy and mechanisms, clinical and imaging-based diagnoses, and management principles in the primary care setting. Main message Low-velocity LFIs result from various mechanisms and can have very subtle findings on clinical examination and imaging. A high degree of suspicion and caution are warranted when managing this type of injury. Conclusion Although potentially devastating if missed, if a few treatment principles for low-velocity LFIs are applied from the initial presentation onward, outcomes from this injury can be optimized.

引用

页码：1199 / 1204

页数：6