*Department of Foot and Ankle Orthopedics, Novant Health, Winston-Salem, NC.
J Am Podiatr Med Assoc. 2022 Sep-Oct;112(5). doi: 10.7547/21-130.
This case describes delayed treatment of a medial talonavicular dislocation with a shear fracture of the talar head, a comminuted posterior talar process fracture, and an intra-articular cuboid fracture with subtle medial displacement of the calcaneocuboid joint and the associated treatment. The injury was sustained in a 35-year-old man following a high-energy motor vehicle accident. Three weeks following the injury, delayed treatment was achieved following an attempted closed reduction under general anesthesia followed by open reduction and percutaneous Kirschner wire fixation. After a 12-month follow-up, the patient was able to return to work and regular activities pain-free without complications. Several associated injuries have been described with isolated talonavicular dislocations. This case reviews the technique and care surrounding this injury pattern and its delayed treatment.
本病例描述了一例内侧距跟关节脱位延迟治疗的病例，合并有距骨头剪切骨折、粉碎性距骨后突骨折和关节内骰骨骨折，伴有跟骰关节内侧轻微移位，以及相关的治疗方法。该损伤发生在一名 35 岁男性，因高能机动车事故所致。受伤后 3 周，在全身麻醉下尝试闭合复位失败后，行切开复位和经皮克氏针固定。随访 12 个月后，患者无并发症，无痛恢复工作和正常活动。孤立性距跟关节脱位常伴有多种相关损伤。本病例回顾了这种损伤模式及其延迟治疗的技术和注意事项。
