Yıl 2013, Cilt 4 , Sayı 4, Sayfalar 133 - 135 2013-10-01

Missed Lisfranc Dislocation in a Patient with Tibia and Fibula Fracture
Tibia ve Fibula Kırığı Olan Hastadaki Gizli Lisfranc Çıkığı

Mustafa Uzkeser [1] , Sultan Tuna Akgöl Gür [2] , Mesut Kılıç [3] , Ayhan Aköz [4] , Hüseyin Şahin [5] , Mücahit Emet [6] , Fatih Alper [7]


Lisfranc injury is a rarely seen, hardly diagnosed and frequently missed injury. Emergency physicians are increasingly exposed to malpractice lawsuits due to delayed referral or inadequate management of this injury that leads to permanent sequelae. We report here the case of a boy with spiral fractures of both the tibia and fibula due to an ice-skating injury, who additionally had Lisfranc ligament injury of the foot. Emergency physicians should maintain a high index of suspicion for a Lisfranc injury in a patient with midfoot swelling and/or tenderness. Many Lisfranc injuries are missed at first glance as gross luxation or lateral deviation of the midfoot is usually not present. The forefoot may appear normal; or acute tenderness along the Lisfranc joint may be mistakenly attributed to co-existing fractures as it was in our case
Lisfranc yaralanması nadir görülür, teşhisi zordur ve sıklıkla atlanan bir yaralanmadır. Kalıcı sekele yol açan bu yaralanmada gecikmiş sevk veya yetersiz tedavi nedeniyle artan bir şekilde acil hekimlerine malpraktis davaları açılmaktadır. Bu vaka sunumunda, buz pateni yaparken düşmesine bağlı ayaktaki lisfranc ligament yaralanması ile ilişkili tibia ve fibula spiral kırığı olan bir erkek hakkında bilgi sunmak istedik. Acil hekimleri ayak orta bölümünde şişme ve/veya hassasiyeti olan hastada Lisfranc yaralanmasından yüksek oranda şüphelenmelidirler. Orta ayak bölümünde genellikle lateral deviasyon veya belirgin çıkık görülmediği için bazı lisfranc yaralanmaları ilk bakışta atlanabilir. Ayak ön bölümü normal olarak görülebilir veya lisfranc ekleminde tek başına akut hassasiyet olması bizim vakamızda olduğu gibi eşlik eden kırıklara bağlı atlanabilir.
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Diğer ID JA74KM32KJ
Bölüm Araştırma Makalesi
Yazarlar

Yazar: Mustafa Uzkeser
Kurum: Department of Emergency Medicine, Faculty of Medicine, Atatürk University, Erzurum, Turkey

Yazar: Sultan Tuna Akgöl Gür
Kurum: Department of Emergency Medicine, Faculty of Medicine, Atatürk University, Erzurum, Turkey

Yazar: Mesut Kılıç
Kurum: Department of Emergency Medicine, Faculty of Medicine, Atatürk University, Erzurum, Turkey

Yazar: Ayhan Aköz
Kurum: Department of Emergency Medicine, Faculty of Medicine, Atatürk University, Erzurum, Turkey

Yazar: Hüseyin Şahin
Kurum: Department of Emergency Medicine, Faculty of Medicine, Atatürk University, Erzurum, Turkey

Yazar: Mücahit Emet
Kurum: Department of Emergency Medicine, Faculty of Medicine, Atatürk University, Erzurum, Turkey

Yazar: Fatih Alper
Kurum: Department of Emergency Medicine, Faculty of Medicine, Atatürk University, Erzurum, Turkey

Tarihler

Yayımlanma Tarihi : 1 Ekim 2013

Bibtex @ { jemcr535515, journal = {Journal of Emergency Medicine Case Reports}, issn = {}, eissn = {2149-9934}, address = {Yukarı Ayrancı Güleryüz Sk. No: 26/19 06550 Çankaya-Ankara, Turkey}, publisher = {Acil Tıp Uzmanları Derneği}, year = {2013}, volume = {4}, pages = {133 - 135}, doi = {}, title = {Missed Lisfranc Dislocation in a Patient with Tibia and Fibula Fracture}, key = {cite}, author = {Uzkeser, Mustafa and Gür, Sultan Tuna Akgöl and Kılıç, Mesut and Aköz, Ayhan and Şahin, Hüseyin and Emet, Mücahit and Alper, Fatih} }
APA Uzkeser, M , Gür, S , Kılıç, M , Aköz, A , Şahin, H , Emet, M , Alper, F . (2013). Missed Lisfranc Dislocation in a Patient with Tibia and Fibula Fracture. Journal of Emergency Medicine Case Reports , 4 (4) , 133-135 . Retrieved from https://dergipark.org.tr/tr/pub/jemcr/issue/43662/535515
MLA Uzkeser, M , Gür, S , Kılıç, M , Aköz, A , Şahin, H , Emet, M , Alper, F . "Missed Lisfranc Dislocation in a Patient with Tibia and Fibula Fracture". Journal of Emergency Medicine Case Reports 4 (2013 ): 133-135 <https://dergipark.org.tr/tr/pub/jemcr/issue/43662/535515>
Chicago Uzkeser, M , Gür, S , Kılıç, M , Aköz, A , Şahin, H , Emet, M , Alper, F . "Missed Lisfranc Dislocation in a Patient with Tibia and Fibula Fracture". Journal of Emergency Medicine Case Reports 4 (2013 ): 133-135
RIS TY - JOUR T1 - Missed Lisfranc Dislocation in a Patient with Tibia and Fibula Fracture AU - Mustafa Uzkeser , Sultan Tuna Akgöl Gür , Mesut Kılıç , Ayhan Aköz , Hüseyin Şahin , Mücahit Emet , Fatih Alper Y1 - 2013 PY - 2013 N1 - DO - T2 - Journal of Emergency Medicine Case Reports JF - Journal JO - JOR SP - 133 EP - 135 VL - 4 IS - 4 SN - -2149-9934 M3 - UR - Y2 - 2020 ER -
EndNote %0 Journal of Emergency Medicine Case Reports Missed Lisfranc Dislocation in a Patient with Tibia and Fibula Fracture %A Mustafa Uzkeser , Sultan Tuna Akgöl Gür , Mesut Kılıç , Ayhan Aköz , Hüseyin Şahin , Mücahit Emet , Fatih Alper %T Missed Lisfranc Dislocation in a Patient with Tibia and Fibula Fracture %D 2013 %J Journal of Emergency Medicine Case Reports %P -2149-9934 %V 4 %N 4 %R %U
ISNAD Uzkeser, Mustafa , Gür, Sultan Tuna Akgöl , Kılıç, Mesut , Aköz, Ayhan , Şahin, Hüseyin , Emet, Mücahit , Alper, Fatih . "Missed Lisfranc Dislocation in a Patient with Tibia and Fibula Fracture". Journal of Emergency Medicine Case Reports 4 / 4 (Ekim 2013): 133-135 .
AMA Uzkeser M , Gür S , Kılıç M , Aköz A , Şahin H , Emet M , Alper F . Missed Lisfranc Dislocation in a Patient with Tibia and Fibula Fracture. Journal of Emergency Medicine Case Reports. 2013; 4(4): 133-135.
Vancouver Uzkeser M , Gür S , Kılıç M , Aköz A , Şahin H , Emet M , Alper F . Missed Lisfranc Dislocation in a Patient with Tibia and Fibula Fracture. Journal of Emergency Medicine Case Reports. 2013; 4(4): 135-133.