Neglected medial swivel dislocation of talonavicular joint with calcaneus, cuboid and 5th metatarsal fractures – A case report
| Autor: | Himanshu kanwat, Samarth Mittal, Vivek Trikha |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Orthodontics
030222 orthopedics Cuboid business.industry Radiography 03 medical and health sciences Fixation (surgical) Editorial 0302 clinical medicine medicine.anatomical_structure Subtalar joint Talonavicular joint medicine Deformity Orthopedics and Sports Medicine 030212 general & internal medicine Calcaneus Dislocation medicine.symptom business |
| Zdroj: | J Clin Orthop Trauma |
| ISSN: | 0976-5662 |
| DOI: | 10.1016/j.jcot.2019.08.013 |
| Popis: | Talonavicular dislocation is a rare injury. Isolated medial or lateral talonavicular dislocations without disruption of subtalar joint are known as medial or lateral swivel dislocations respectively, both being extremely rare. We describe a rare case of neglected medial swivel dislocation with concomitant calcaneus, cuboid and 5th metatarsal fracture, which was managed with open reduction and fixation of talonavicular joint with k-wires and an external distractor. At 1 year follow up the patient was mobilizing full weight bearing without any pain or deformity, the radiographs showing well located talonavicular joint and healed calcaneus, cuboid and 5th metatarsal fractures. This is the first reported case of medial swivel talonavicular dislocation with associated calcaneum, cuboid and 5th metatarsal fracture to the best of our knowledge. This case report highlights the importance of maintaining high level of suspicion for diagnosing midfoot injuries in a polytraumatized patient as well as need of accurate and timely reduction of dislocation for good functional outcome. Level of clinical evidence Level 4. |
| Databáze: | OpenAIRE |
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