低能量Lisfranc损伤的诊疗进展

Progress in diagnosis and treatment of low- energy Lisfranc injuries

随着运动损伤的逐渐增加,低能量Lisfranc损伤的发生率也逐年提高。此类损伤临床表现常较隐匿,且普通影像学技术的检出率低,因此临床误诊率相对较高。而一旦延误诊治,即可能进展为畸形愈合或创伤性关节炎,导致疼痛及功能障碍,严重影响患者生活质量,最终可能需要关节融合挽救。鉴于此,本文将对低能量Lisfranc损伤的诊断、分型及治疗进展作一综述,以提高此类损伤的诊疗效果。

With the increasing of athletic injuries every year,the incidence of low-energy Lisfranc injuries has also increased.The clinical manifestations of this type of injury are often insidious,and the detection rate of regular imaging techniques is low,as a result,the clinical misdiagnosis rate is relatively high.Once the diagnosis and treatment are delayed,it may result in malunion or traumatic arthritis,leading to pain and functional disability,seriously affecting the patient's quality of life,and ultimately requiring joint fusion for salvage.In view of this,this article will review the progress in diagnosis,classification and treatment of low-energy Lisfranc injuries to improve the clinical outcomes of such injuries.