Akademik Veri Yönetim Sistemi
JOURNAL OF ACADEMIC EMERGENCY MEDICINE CASE REPORTS, cilt.4, ss.133-135, 2013 (Hakemli Dergi)
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.