Unusual presentation of Lisfranc fracture dislocation associated with high-velocity sledding injury: a case report and review of the literatureReportar como inadecuado




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Journal of Medical Case Reports

, 2:266

First Online: 11 August 2008Received: 24 December 2007Accepted: 11 August 2008DOI: 10.1186-1752-1947-2-266

Cite this article as: Benejam, C.E. & Potaczek, S.G. J Med Case Reports 2008 2: 266. doi:10.1186-1752-1947-2-266

Abstract

IntroductionLisfranc fracture dislocations of the foot are rare injuries. A recent literature search revealed no reported cases of injury to the tarsometatarsal Lisfranc joint associated with sledding.

Case presentationA 19-year-old male college student presented to the emergency department with a Lisfranc fracture dislocation of the foot as a result of a high-velocity sledding injury. The patient underwent an immediate open reduction and internal fixation.

ConclusionLisfranc injuries are often caused by high-velocity, high-energy traumas. Careful examination and thorough testing are required to identify the injury properly. Computed tomography imaging is often recommended to aid in diagnosis. Treatment of severe cases may require immediate open reduction and internal fixation, especially if the risk of compartment syndrome is present, followed by a period of immobilization. Complete recovery may take up to 1 year.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-2-266 contains supplementary material, which is available to authorized users.

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Autor: Christopher E Benejam - Steven G Potaczek

Fuente: https://link.springer.com/







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