Plantar ecchymosis sign: A clinical aid to diagnosis of occult Lisfranc tarsometatarsal injuries

被引：71

作者：

Ross, G ^{[1
]}

Cronin, R ^{[1
]}

Hauzenblas, J ^{[1
]}

Juliano, P ^{[1
]}

机构：

[1] NATL NAVAL MED CTR, DEPT ORTHOPAED SURG, BETHESDA, MD 20889 USA

来源：

JOURNAL OF ORTHOPAEDIC TRAUMA | 1996年 / 10卷 / 02期

关键词：

Lisfranc; ecchymosis; stress test;

D O I：

10.1097/00005131-199602000-00008

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Diagnosis of subtle Lisfranc injuries can be difficult for the examining clinician. Radiographs do not always reveal the full extent of tarsometatarsal injuries. We describe a clinical sign found in significant Lisfranc injuries that consists of a mid-foot ecchymotic area on the plantar aspect. This implies the potential for significant injury to the plantar tarsometatarsal ligaments. We call this the plantar ecchymosis sign. Patients with this injury and sign should be aggressively evaluated, with early consideration for stress radiographs and ORIF if indicated, as the prognosis of the undertreated Lisfranc injury is poor.

引用

页码：119 / 122

页数：4