[Plantar dislocation of the tarso-metatarsal articulation (Lisfranc articulation). Apropos of a case]. / Luxation plantaire de l'articulation tarso-métatarsienne (articulation de Lisfranc). A propos d'un cas.
Rev Chir Orthop Reparatrice Appar Mot
; 84(2): 197-201, 1998 Apr.
Article
em Fr
| MEDLINE
| ID: mdl-9775065
ABSTRACT
Plantar fracture-dislocation of the tarso-metatarsal joint (Lisfranc plantar fracture-dislocation) is rather unusual. The authors described a case sustained in a 39 years old man injured in a motorcycle road traffic accident. Mechanism was recognized as plantar hyperflexion combined with an axial foot compression. Open reduction, and K-wires fixation were performed. An anatomical feature was restored. In an additional anatomical study on 8 cadavers, the plantar direction of a fracture-dislocation of the tarso-metatarsal joint was observed when the injury axis followed the scapho-cuneiform joint of the inner border of the foot and the cuboïdo-metatarsal joint on the lateral border, so that both tibialis muscles were fixed on the distal fragment. As tibialis posterior muscle is more powerful, the direction of the dislocation will be plantar. This type of injury is different from plantar fracture-dislocation of the tarso-metatarsal joint secondary to direct load bearing on the dorsum of the foot with severe skin and vessels injuries.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Motocicletas
/
Ossos do Metatarso
/
Acidentes de Trânsito
/
Luxações Articulares
/
Fraturas Ósseas
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
Fr
Revista:
Rev Chir Orthop Reparatrice Appar Mot
Ano de publicação:
1998
Tipo de documento:
Article