低能量损伤后累及舟楔关节和跟骰关节的罕见中足脱位：1例报告
An Unusual Midfoot Dislocation Involving Naviculocuneiform and Calcaneocuboid Joint Following Low-Energy Injury: A Case Report.
作者信息
Dhole Kiran P, Bandebuche Ajinkya R, Marathe Nandan A, Date Sudeep, Raj Aditya
机构信息
Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India.
Department of Orthopaedics, TNMC and B.Y.L. Nair Charitable Hospital, Mumbai, Maharashtra, India.
出版信息
J Orthop Case Rep. 2020 Sep;10(6):41-43. doi: 10.13107/jocr.2020.v10.i06.1868.
INTRODUCTION
Midfoot injuries involving naviculocuneiform and calcanealcuboid joints are very rare. These injuries result from high-energy crushing trauma and most often causes dislocation of the midfoot in plantar direction.
CASE REPORT
A 30-year-old female sustained an injury to the left foot after a fall from a very low height. A radiograph of the left foot demonstrated naviculocuneiform joint and calcaneocuboid joint fracture-dislocation. This unusual pattern of injury required open reduction and internal fixation with K-wires after a failed attempt of closed reduction. K-wires were removed after 8 weeks. At 24 months follow-up, she achieved a complete range of movements of left foot and ankle without any complications.
CONCLUSION
Injuries involving naviculocuneiform and the calcaneocuboid joint can occur following low-energy impact. Such complex injuries should be diagnosed and treated as early as possible. Initial open reduction and stable anatomical fixation are the keys to achieve a good functional outcome in such kind of injuries.
引言
涉及舟楔关节和跟骰关节的中足损伤非常罕见。这些损伤由高能挤压伤导致，最常引起中足向足底方向脱位。
病例报告
一名30岁女性从很低的高度跌落致左脚受伤。左脚X线片显示舟楔关节和跟骰关节骨折脱位。这种不寻常的损伤模式在闭合复位失败后需要切开复位并用克氏针内固定。8周后取出克氏针。在24个月的随访中，她左脚和踝关节的活动范围完全恢复，没有任何并发症。
结论
低能量冲击后可发生涉及舟楔关节和跟骰关节的损伤。此类复杂损伤应尽早诊断和治疗。初次切开复位和稳定的解剖固定是此类损伤获得良好功能预后的关键。
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