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急性跗中关节脱位伴楔骨间脱位:病例研究、诊断与处理

Acute plantar midtarsal dislocation with intercuneiform dislocation: Case study, diagnosis and management.

作者信息

Harris Andrew P, Gil Joseph A, Goodman Avi D, Nacca Christopher R, Borenstein Todd R

机构信息

Department of Orthopaedics, Alpert Medical School of Brown University, Providence, RI, United States.

出版信息

J Orthop. 2016 Oct 25;14(1):26-29. doi: 10.1016/j.jor.2016.10.020. eCollection 2017 Mar.

Abstract

The midtarsal joint, also known as the Chopart or the transverse tarsal joint, is composed of the talonavicular and calcaneocuboid articulations. Midtarsal joint dislocations are rare injuries given the strong periarticular ligamentous support.2, 3 Medial, lateral, dorsal, and rarely plantar dislocations have been reported from multiple high-energy mechanisms.4, 5 We describe the case of a 24-year-old male who sustained talonavicular and calcaneocuboid plantar dislocations associated with a middle and lateral intercuneiform dislocation, open proximal 5th metatarsal fracture, 2nd-4th metatarsal base fractures, and lateral cuneiform fracture. The mechanism of injury, diagnosis, management, operative intervention, and follow up are discussed.

摘要

中跗关节,也称为Chopart关节或横跗关节,由距舟关节和跟骰关节组成。鉴于关节周围有强大的韧带支持,中跗关节脱位是罕见的损伤。2, 3 已有报道称,多种高能机制可导致内侧、外侧、背侧脱位,足底脱位则较为罕见。4, 5 我们描述了一名24岁男性的病例,该患者发生了距舟关节和跟骰关节足底脱位,并伴有中楔骨和外侧楔骨间脱位、第5跖骨近端开放性骨折、第2 - 4跖骨基底骨折以及外侧楔骨骨折。本文讨论了损伤机制、诊断、治疗、手术干预及随访情况。

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引用本文的文献

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Chopart dislocations: a review of diagnosis, treatment and outcomes.Chopart 脱位:诊断、治疗和结果的回顾。
Arch Orthop Trauma Surg. 2024 Jan;144(1):131-147. doi: 10.1007/s00402-023-05040-4. Epub 2023 Sep 15.

本文引用的文献

1
Treatment of Chopart Fracture-Dislocations.
Eur J Trauma Emerg Surg. 2010 Jun;36(3):191-5. doi: 10.1007/s00068-010-1047-0. Epub 2010 Jun 1.
5
Chopart joint injury: a study of outcome and morbidity.Chopart关节损伤:结局与发病率研究
J Foot Ankle Surg. 2010 Nov-Dec;49(6):541-5. doi: 10.1053/j.jfas.2010.08.005.
7
Acute isolated dorsal midtarsal (Chopart's) dislocation: a case report.
J Foot Ankle Surg. 2009 Jul-Aug;48(4):462-5. doi: 10.1053/j.jfas.2009.01.016. Epub 2009 May 9.
8
Chopart fractures and dislocations.Chopart骨折与脱位。
Foot Ankle Clin. 2008 Dec;13(4):679-93, viii. doi: 10.1016/j.fcl.2008.08.004.
9
Chopart fractures.乔帕特骨折。
Injury. 2004 Sep;35 Suppl 2:SB64-70. doi: 10.1016/j.injury.2004.07.013.

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