Trikha Vivek, Goyal Tarun, Agarwal Amit-K
Department of Orthopaedics, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India.
Chin J Traumatol. 2013;16(2):110-2.
Concomitant dislocation of the tarsometatarsal and metatarsophalangeal joints of foot is an extremely rare injury. Such injuries presenting in a single or adjacent dual rays have been described in few cases previously. We describe such an injury in adjacent three metatarsals of a polytrauma patient. These injuries are likely to be missed in the initial assessment of a polytrauma patient. These patients are at risk of an overlooked diagnosis but the consequences of missing this type of injury may be quite severe. This case is presented in view of its uniqueness along with possible mechanism of injury, the sequence of reduction and follow-up. Knowledge of such injury and its proper management may be useful to the trauma surgeons.
跗跖关节和跖趾关节同时脱位是一种极其罕见的损伤。此前仅有少数病例报道过单条或相邻双条射线出现此类损伤。我们描述了一名多发伤患者相邻三根跖骨的此类损伤。在多发伤患者的初始评估中，这些损伤很可能被漏诊。这些患者存在漏诊的风险，但漏诊此类损伤的后果可能相当严重。鉴于该病例的独特性以及可能的损伤机制、复位顺序和随访情况，现将其呈现。了解此类损伤及其正确处理方法可能对创伤外科医生有所帮助。
