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隐匿性足Lisfranc损伤的临床特征及多层CT表现

张玉新 王淑丽 马信龙 李健 邓欣 陈菲

中国临床医学影像杂志2013,Vol.24Issue(3):188-191,4.
中国临床医学影像杂志2013,Vol.24Issue(3):188-191,4.

隐匿性足Lisfranc损伤的临床特征及多层CT表现

The clinical characteristics and MDCT findings of the occult Lisfranc injuries

张玉新 1王淑丽 1马信龙 1李健 1邓欣 1陈菲1

作者信息

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摘要

Abstract

Objective: To explore the clinical characteristics and MDCT findings of the subtle occult Lisfranc injury. Methods: During a period of 12 months in 2011, 706 patients had sprain injury of the foot underwent MDCT of the foot. A-mong them, occult Lisfranc injuries are not detected on conventional radiography. Imaging studies of MDCT were retrospectively re-evaluated for fracture location, and fracture types. Results: Of the 706 patients, 285 patients were normal on the radiological diagnosis. Among 285 patients, 113 (39.6%) had one or more subtle fractures in the tarsals and the base of the metatarsals. Subtle occult Lisfranc injury were found in 82 patients. Pain and midfoot swelling were the main clinical charac-eristics. Common causes of indirect trauma include athletic injuries and falling from a high place. Conclusion: Subtle Lisfranc injuries are increasing and their correct diagnosis is important. Misdiagnosis is common and can lead to chronic disability. In patients with Lisfranc injuries, MDCT is recommended as the useful imaging technique.

关键词

足损伤/体层摄影术,螺旋计算机

Key words

Foot injuries/ Tomography, spiral computed

分类

医药卫生

引用本文复制引用

张玉新,王淑丽,马信龙,李健,邓欣,陈菲..隐匿性足Lisfranc损伤的临床特征及多层CT表现[J].中国临床医学影像杂志,2013,24(3):188-191,4.

中国临床医学影像杂志

OACSTPCD

1008-1062

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