Neglected medial swivel dislocation of talonavicular joint with calcaneus,cuboid and 5th metatarsal fractures – A case report |
| |
| Institution: | 1. Deptt. of Orthopaedics, AIIMS, U-24/21, Pink Town Houses, DLF-III, Gurgaon, Haryana, 122002, New Delhi, India;2. Dept. of Orthopaedics, JPNATC, AIIMS, 4th Floor, JPNATC, Raj Nagar, 110029, New Delhi, India;3. Dept. of Orthopaedics, JPNATC, AIIMS, Room 406, 4th Floor, JPNATC, Raj Nagar, 110029, New Delhi, India;1. Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, (KES), United States;2. Department of Orthopaedic Surgery, Kaiser Permanente, Bellevue, WA, (JYC), United States;3. Orthopaedic Trauma Service, Hospital for Special Surgery, New York, NY, (STC), United States;4. Department of Orthopaedic Surgery, Stanford University, Stanford, CA, (JAB), United States;1. Univ of Miami/Jackson Mem Med Ctr, Miami, FL, USA;2. University of Miami Hospital, Miami, FL, USA;3. University of Miami Miller School of Medicine, Miami, FL, USA;1. Assistant Professor of Orthopaedics, Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India;2. Professor, Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India;3. Additional Professor, Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India;4. Orthopaedic Surgeon, Department of Orthopaedics, Civil Service Hospital, Kathmandu, Nepal;1. Plastic Surgery Unit, Department of Surgery NSCB Government Medical College, Jabalpur, MP, 482003, India;2. Department of Surgery NSCB Government Medical College, Jabalpur, MP, 482003, India;1. Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India;2. Department of Radiodiagnosis, SMS Medical College, Jaipur, Rajasthan, India |
| |
| Abstract: | 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 evidenceLevel 4. |
| |
| Keywords: | Talonavicular joint Neglected dislocation Swivel dislocation Open reduction External distraction |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
