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Titre : | How to Identify Unstable Lisfranc Injuries? Review of Diagnostic Strategies and Algorithm Proposal (2020) |
Auteurs : | German Joannas ; Jorge Filippi |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 25, n°4, Décembre 2020) |
Article en page(s) : | p. 697-710 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Diagnostic ; Imagerie diagnostique ; Pied ; Plaies et blessures |
Résumé : |
Misdiagnosed Lisfranc injuries can be as high as 50%, leading to chronic pain, functional impairment, and posttraumatic arthritis. Subtle or incomplete lesions are the most problematic group for an adequate diagnosis.
When clinical suspicion for a midfoot injury is present, all efforts must be done to rule out Lisfranc instability. Conventional nonweight-bearing radiographs can overlook up to 30% of unstable cases. Abduction stress radiographs and anteroposterior monopodial comparative weight-bearing radiographic views are very useful to identify instability, and they are recommended as the initial study for a potentially unstable Lisfranc injury. Computed tomography gives detailed information about fracture patterns and comminution, but its role in detecting occult instability is unclear. MRI can predict instability but it is expensive and not readily available in the acute setting. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751520300991 |