Tomcovcík L, Károlyi J, Kitka M
Klinika úrazovej chirurgie FN L. Pasteura a LF UPJS, Kosice.
Acta Chir Orthop Traumatol Cech. 1999;66(6):362-6.
The authors report a special type of Chopart dislocation named as swivel dislocation or tarsal rotation. This injury is characterized by dislocation of the talonavicular joint but the calcaneocuboid joint remains intact.The foot creates a typical rotational movement but it does not evert or invert. The axis of rotation is interosseous talo-calcaneal ligament, which remains intact. In the reported case the medial swivel dislocation is present in combination with fracture-dislocation of the ankle joint with diaphyseal fracture of fibula and segmental fracture of tibia in the same extremity in multiple injury patient. The typical characteristic and method of treatment of this rare injury are presented. Key words: Chopart dislocation, multiple injuries, therapy, consequence.
作者报告了一种特殊类型的Chopart脱位，称为旋转脱位或跗骨旋转。这种损伤的特征是距舟关节脱位，但跟骰关节保持完整。足部产生典型的旋转运动，但不外翻或内翻。旋转轴是骨间距跟韧带，其保持完整。在所报告的病例中，一名多发伤患者同一肢体存在内侧旋转脱位，并伴有踝关节骨折脱位、腓骨干骨折和胫骨节段性骨折。本文介绍了这种罕见损伤的典型特征和治疗方法。关键词：Chopart脱位；多发伤；治疗；后果
