Revista Habanera de Ciencias Médicas

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>Journals >Revista Habanera de Ciencias Médicas >Year 2017, Issue 4

Brito CM, Mena PR, Gil MJR
Lisfranc fracture-dislocation in a patient with Hansen´s Disease. Case presentation
Revista Habanera de Ciencias Médicas 2017; 16 (4)

Language: Espańol
References: 12
Page: 579-585
PDF: 495.39 Kb.

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Introduction: Lisfranc joint lesions are produced by high energy traumas, but when they present in patients with Hansen´s disease and damage to the peripheral nervous system, the low intensity repeated traumas can lead to this type of lesion. Objective: To present an interesting case, given a particular association on a patient with Hansen´s disease and a Lisfranc lesion, caused by a low energy trauma. Case presentation: 64 years old Phototype V patient with antecedents of lepromatous Hansen´s disease who presented Lisfranc fracture-dislocation of a divergent type after low intensity repeated traumas, and a septic superadded process. The antecedents, clinical picture, laboratory tests, ultrasounds, radiological study, and the treatment indicated are all analyzed. Conclusions: Disability in hands and feet due to neurological disorders in patients with lepromatous leprosy of more than 5 years of evolution is very frequent, but it is not so frequent when associated to a Lisfranc fracturedislocation of a divergent type due to low intensity trauma, because this type of lesion is normally caused by high energy traumas.

Key words: foot, Lisfranc joint, fracturedislocation, lepromatous leprosy, disability.

>Journals >Revista Habanera de Ciencias Médicas >Year 2017, Issue 4

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