中足损伤诊断及治疗.pptVIP

中足损伤的诊断及治疗 陈刚 njuries to the midfoot are among the most frequently overlooked and underestimated injuries in the human skeleton. Since Main and Jowetts landmark paper [1 on mid-tarsal joint injuries in 1975, the percentage of initially misdiagnosed midfoot injuries has- unfortu nately- not changed subst antially. and the same is true both Chopart and Lisfranc joint injuries are still ini- tially misdiagnosed 6. 7. Injuries to the midfoot can metatarsal injuries, ranging from sprains with poten tially stable bony avulsions of the capsules and ligaments to complex fracturc-dis locations with Cx treme internal soft tissue compromise including compartment syndrome in up to 30%o at the lisfranc joint- or crush injuries with a partly devit alized fore foot. Given the relative ly low incidence it is ikelv that 概况 高能量损伤日趋增多,中足 损伤年发生率1/30000人,占 全身骨折的0.4%。 中足涵盖跖骨基底、楔骨 舟骨、骰骨以及跗中关节所 对应的距骨和跟骨 Grivas TB, Vasiliadis ED, Koufopoulos G, et al, Midfoot fractures. Clin Podiatr Med Surg, 2006, 23(6): 323-341 中足解剖 骨性稳定:拱形结构+第二跖骨基底嵌入结构 中足三革是区柱 olum