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罕见中足(Chopart 关节)脱位的病例报告及文献复习:跗舟骨-楔骨和跟骰骨联合脱位。

A case report with review of literature of a rare variant of midfoot dislocations (mid-Chopart dislocation): Combined naviculo-cuneiform and calcaneo-cuboid dislocation.

机构信息

Faculty of Medicine, Helwan University, Cairo, Egypt.

El-Hadra University Hospital, Alexandria, Egypt.

出版信息

Foot (Edinb). 2021 Jun;47:101806. doi: 10.1016/j.foot.2021.101806. Epub 2021 Apr 20.

Abstract

Closed midfoot and Chopart dislocations are uncommon injuries. Moreover, a combination of these dislocations is extremely rare. A 30-year-old male presented to our emergency department with mid-Chopart dislocation (combined naviculo-cuneiform and calcaneo-cuboid dislocation). Adequate open reduction with dual approach (dorsomedial and dorsolateral) and fixation with K-wires were achieved. Although the patient had satisfactory functional outcome postoperatively, he developed midfoot arthritis 12 months later. This type of dislocation is not yet classified, with only few cases reported in the literature. LEVEL OF CLINICAL EVIDENCE: 4.

摘要

跗跖关节和 Ch arp o t 关节脱位并不常见。此外,这些脱位的组合非常罕见。一名 30 岁男性因 Ch arp o t 关节中部脱位(跗骨间和跟骰关节脱位)到我院急诊就诊。采用双入路(背内侧和背外侧)充分切开复位,并用 K 线固定。尽管患者术后功能恢复满意,但 12 个月后出现中跗关节炎。这种类型的脱位尚未分类,文献中仅报道了少数病例。临床证据等级:4 级。

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