Ibrahim Ibrahim Saeed, Moghamis Isam Sami, Elsweify Kareem, Alsaei Jasim, Al-Saddi Ahmad, Fuad Mazhar
Hamad Medical Corporation, Orthopedics Surgery, Doha, Qatar.
Trauma Case Rep. 2024 Jun 10;52:101073. doi: 10.1016/j.tcr.2024.101073. eCollection 2024 Aug.
Medial swivel dislocation is a rare subtype of midtarsal bone dislocation, mostly associated with fracture rather than isolated dislocation. It is caused by medially or laterally direct forces to the midfoot. In case of failed closed reduction of the deformity, the patient should undergo open reduction and stabilization of the injury as soon as possible. We are presenting a 17-year-old, male, who sustained a left ankle injury and presented with a deformity, closed reduction of the deformity failed multiple times, and the patient was taken for open reduction and stabilization of the deformity in the operating theater. Intra-operatively, the dislocation was locked with the lateral process of the navicular being impacted into the taller head. Six months following the injury the patient was back to his pre-injury status and did not have any recurrent dislocation of the midfoot.
内侧旋转脱位是一种罕见的中跗骨脱位亚型，大多与骨折相关而非单纯脱位。它由向中足内侧或外侧的直接暴力所致。若畸形闭合复位失败，患者应尽快接受切开复位及损伤固定。我们现报道一名17岁男性，其左脚踝受伤并出现畸形，畸形闭合复位多次失败，遂在手术室接受切开复位及畸形固定。术中，脱位被锁定，舟骨外侧突嵌入较高的头部。受伤6个月后，患者恢复至伤前状态，中足无任何复发性脱位。
