Kummer Anne, Crevoisier Xavier, Eudier Antoine
Hôpital Intercantonal de la Broye (HIB), Payerne, Switzerland.
Lausanne University Hospital (CHUV), Switzerland.
Case Rep Orthop. 2020 Sep 28;2020:8818823. doi: 10.1155/2020/8818823. eCollection 2020.
. Midfoot dislocations are rare traumatic injuries. The best known patterns involve the Lisfranc and Chopart joints, although some other types have been described. Dislocations that occur at the level of the naviculocuneiform and calcaneocuboid joints simultaneously represent a very rare configuration of dislocation. . A 34-year-old man sustained a crush injury to his left foot causing a complete dislocation through the naviculocuneiform and calcaneocuboid joints. Immediate closed reduction and percutaneous pinning were performed, followed by open reduction and stabilization of both joints two weeks later. Anatomical reduction was obtained, and the clinical outcome remained satisfactory 10 months after surgery. . Anatomical reduction is essential to obtain favorable outcomes in traumatic midfoot injuries. An unusual pattern of midfoot dislocation can be treated according to the same principles as those for classical Lisfranc or Chopart injuries.
中足脱位是罕见的创伤性损伤。最常见的类型涉及Lisfranc关节和Chopart关节,不过也有其他一些类型被描述过。同时发生在舟楔关节和跟骰关节水平的脱位是一种非常罕见的脱位形式。一名34岁男性左足遭受挤压伤,导致通过舟楔关节和跟骰关节的完全脱位。立即进行了闭合复位和经皮穿针固定,两周后进行了切开复位和双关节稳定术。获得了解剖复位,术后10个月临床结果仍令人满意。解剖复位对于创伤性中足损伤获得良好预后至关重要。一种不寻常的中足脱位模式可根据与经典Lisfranc或Chopart损伤相同的原则进行治疗。