Rao Harish
Krishna Institute of Medical Sciences, Mahartashtra, India.
J Foot Ankle Surg. 2005 Sep-Oct;44(5):401-5. doi: 10.1053/j.jfas.2005.08.008.
Isolated dislocation of calcaneus from cuboid and talus is extremely rare. This is a report of a 40-year-old man who sustained an open dislocation of calcaneus from cuboid and talus with subluxation of the talonavicular joint. Immediate reduction and stabilization with Kirschner wires and an external fixator was performed. At 2-year follow-up, there was no evidence of infection or avascular necrosis of tarsal bones. However, osteoarthrosis of the calcaneocuboid joint was evident. The functional result after 2 years was satisfactory. This case illustrates that the diagnosis of concomitant injuries in the adjacent column of the foot and compliance with principles of management of multiple injuries in the midfoot are paramount in reducing morbidity, which is common in such injuries.
跟骨与骰骨及距骨的孤立性脱位极为罕见。本文报道了一名40岁男性,其发生了跟骨与骰骨及距骨的开放性脱位,并伴有距舟关节半脱位。当即进行了克氏针及外固定架固定复位。在2年的随访中,没有跗骨感染或缺血性坏死的迹象。然而,跟骰关节骨关节炎明显。2年后的功能结果令人满意。该病例表明,足部相邻柱伴随损伤的诊断以及遵循中足多发伤的处理原则对于降低此类损伤常见的发病率至关重要。