Jimenez Isidro, Rodriguez-Alvarez Juan Pedro, Navarro-Navarro Ricardo
J Am Podiatr Med Assoc. 2017 May;107(3):226-230. doi: 10.7547/15-103.
Fracture-dislocations of the tarsal navicular are rare and highly complex injuries to the midfoot. The only published data on this type of fracture are clinical case reports. These injuries are normally caused by high-energy trauma, and their pathophysiology and most appropriate treatment remain unclear. We report a clinical case of a dorsal fracture-dislocation of the tarsal navicular bone associated with a medial swivel dislocation of the Chopart joint caused by a bicycle fall in a 20-year-old healthy man. Open reduction and percutaneous pinning in a novel arrangement was performed, with an excellent outcome 18 months after the injury.
舟状骨骨折脱位是罕见且高度复杂的中足损伤。关于此类骨折的唯一已发表数据是临床病例报告。这些损伤通常由高能创伤引起，其病理生理学和最合适的治疗方法仍不清楚。我们报告一例20岁健康男性因自行车摔倒导致的舟状骨背侧骨折脱位合并Chopart关节内侧旋转脱位的临床病例。采用一种新颖的排列方式进行切开复位和经皮穿针固定，伤后18个月效果良好。
