tailieunhanh - Báo cáo y học: " Unusual presentation of Lisfranc fracture dislocation associated with high-velocity sledding injury: a case report and review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Unusual presentation of Lisfranc fracture dislocation associated with high-velocity sledding injury: a case report and review of the literature | Journal of Medical Case Reports BioMed Central Open Access Case report Unusual presentation of Lisfranc fracture dislocation associated with high-velocity sledding injury a case report and review of the literature Christopher E Benejam 1 and Steven G Potaczek2 Address 1Augustana College 38th Street Rock Island IL 61201 USA and 2Department of Orthopedic Surgery Galesburg Clinic N Seminary St Galesburg iL 61401 USA Email Christopher E Benejam - cbombligo@ Steven G Potaczek - sgpmd@ Corresponding author Published II August 2008 Received 24 December 2007 Journal of Medical Case Reports 2008 2 266 doi 1752-1947-2-266 Accepted 11 August 2008 This article is available from http content 2 I 266 2008 Benejam and Potaczek licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Lisfranc 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 presentation A 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. Conclusion Lisfranc 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