Kamakura Fuminori, Yasuda Gaku, Ishigaki Yoshimasa, Goto Satoshi
Department of Orthopedic Surgery, Fujimi-Kogen Hospital, Fujimi-Kogen Medical Center, Nagano, Japan.
J Surg Case Rep. 2023 Mar 21;2023(3):rjad113. doi: 10.1093/jscr/rjad113. eCollection 2023 Mar.
A 57-year-old man fell from a height of 6 m and injured his right foot. Imaging studies showed an uncommon injury; naviculocuneiform and calcaneocuboid joint fracture dislocations. He underwent a temporary fixation with Kirschner wires (K-wires), and the injured foot was immobilized with a below-knee splint. Weight-bearing was started gradually. The K-wires were removed at 8 weeks. Full weight-bearing was achieved 14 weeks after the operation. At 19 weeks, he returned to his carpentry job. At 1 year, he had no marked limitation of daily activities. Early recognition of these injuries is required to prevent persistent foot pain and long-term dysfunction.
一名57岁男性从6米高处坠落,右脚受伤。影像学检查显示为一种罕见损伤;舟楔关节和跟骰关节骨折脱位。他接受了克氏针临时固定,受伤的脚用膝下夹板固定。逐渐开始负重。8周时取出克氏针。术后14周实现完全负重。19周时,他恢复了木工工作。1年时,他的日常活动没有明显受限。需要早期识别这些损伤以预防持续性足部疼痛和长期功能障碍。