Klaue Kaj
Reparto di Chiurgia Ortopedica Clinica Luganese, sede Moncucco Lugano, Switzerland.
Injury. 2004 Sep;35 Suppl 2:SB64-70. doi: 10.1016/j.injury.2004.07.013.
The Chopart articular space was described by François Chopart (1743-1795) as a practical space for amputations in cases of distal foot necrosis. It corresponds to the limit between the anatomical hind-foot and the mid-foot. The bones involved are the talus and the calcaneus proximally, and the navicular and the cuboid distally. This space thus holds two functionally distinct entities, the anterior part of the coxa pedis (an essential functional joint) and the calcaneo-cuboidal joint,which can be considered to be an "adaptive joint" within a normal foot. Trauma to this region may cause fractures and/or dislocations and, in high energy trauma,compartment syndromes. Principles of treatment are immediate reduction of dislocations and realignment of the medial and lateral column of the foot in length and orientation. Open reduction and internal fixation of talus and navicular fractures are often indicated to restore the "coxa pedis". Open reconstruction or fusion in correct length of the calcaneo-cuboidal joint is occasionally indicated. Salvage procedures in malunions include navicular osteotomies and calcaneo-cuboidal bone block fusions. Treatment of joint destructions, especially involving the talo-navicular joint, include triple arthrodesis.
肖帕尔关节间隙由弗朗索瓦·肖帕尔（1743 - 1795）描述为足部远端坏死时截肢的实用间隙。它对应于解剖学上后足与中足之间的界限。近端涉及的骨头是距骨和跟骨，远端是舟骨和骰骨。因此，这个间隙包含两个功能上不同的实体，即足前部（一个重要的功能关节）和跟骰关节，在正常足部中后者可被视为一个“适应性关节”。该区域的创伤可能导致骨折和/或脱位，在高能量创伤中还可能引发骨筋膜室综合征。治疗原则是立即复位脱位，并使足部的内侧和外侧柱在长度和方向上重新排列。距骨和舟骨骨折常需切开复位内固定以恢复“足前部”。偶尔需要对跟骰关节进行正确长度的切开重建或融合。畸形愈合的补救手术包括舟骨截骨术和跟骰骨块融合术。关节破坏的治疗，特别是累及距舟关节的情况，包括三关节融合术。
