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Delayed reduction of a dislocation at Lisfranc's joint: a case report
The Journal of Foot Surgery
|January 1, 1977
Summary
A chronic lateral dislocation of the Lisfranc joint, complicated by peripheral neuropathy, was treated with delayed surgery. Despite challenges, the patient achieved a functional and asymptomatic foot post-tarsometatarsal joint fusion.
Area of Science:
- Orthopedic Surgery
- Podiatry
- Traumatology
Background:
- Chronic lateral dislocation of the Lisfranc joint is rare.
- Delayed diagnosis and treatment can complicate management.
- Peripheral neuropathy can exacerbate Lisfranc joint injury symptoms.
Observation:
- A case of chronic lateral Lisfranc joint dislocation is presented.
- The patient had inadequate initial diagnosis and delayed reduction.
- Peripheral neuropathy was a complicating factor.
Findings:
- Delayed surgical reduction and arthrodesis of the tarsometatarsal joints were performed.
- Significant osseous changes due to prolonged dislocation impacted alignment.
- A functional and asymptomatic foot was achieved despite alignment challenges.
Implications:
- This case highlights the importance of timely Lisfranc joint injury diagnosis.
- Surgical intervention can restore function even in chronic, complex cases.
- Management of associated neuropathy is crucial for optimal outcomes.