胫前肌腱嵌顿导致难复Myerson A型全外侧脱位Lisfranc损伤一例
张建1
李学澳1
许波2
1.250014 济南,山东中医药大学第一临床医学院2.250014 济南,山东中医药大学第一临床医学院;250014 济南,山东中医药大学附属医院显微骨科
摘要：Objective To analyze the mechanism,reduction,and fixation methods for irreducible Myerson type A complete lateral dislocation Lisfranc injuries caused by anterior tibialis tendon entrapment through a combination of case analysis and literature review,providing a reference for the diagnosis and treatment of such cases.Methods A case of Myerson type A complete lateral dislocation Lisfranc injury caused by a crushing injury was reviewed,including detailed clinical data,pre-and postoperative imaging findings,and the techniques employed for reduction and fixation.Results Postoperative imaging demonstrated satisfactory alignment,and follow-up revealed significant symptomatic improvement with no disease progression or recurrence.Conclusions For Myerson type A complete lateral dislocation Lisfranc injuries,early manual closed reduction should be performed.If clear indications of anterior tibialis tendon entrapment are present and reduction is difficult,open release of the entrapped tendon followed by reduction and internal fixation is recommended.
关键词：足损伤骨折固定术内Lisfranc损伤跗跖关节
分类号：R686.1(骨科学（运动系疾病、矫形外科学）)
资助基金：山东省中医药科技项目(M-2023165)山东省医药卫生科技发展计划项目(202004071045)
论文发表日期：2025-06-19
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：3( 554-556 )
英文信息