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跌倒后舟状骨脱位和多灶性骨折的处理

The Management of Navicular Dislocation and Multifocal Fractures Following a Fall.

作者信息

Khan Rawaa J, Khan Abdulrahman J, Alhelali Haneen A, Almoabbdi Anas S, Alshanqiti Bushra

机构信息

Medicine, College of Medicine, Umm Al-Qura University, Jeddah, SAU.

Radiology, King Abdulaziz University Faculty of Medicine, Makkah, SAU.

出版信息

Cureus. 2024 Jul 15;16(7):e64581. doi: 10.7759/cureus.64581. eCollection 2024 Jul.


DOI:10.7759/cureus.64581
PMID:39144878
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11323876/
Abstract

Midfoot injuries, encompassing navicular dislocations and fractures of the navicular bone, present unique challenges in trauma care. We report the case of a 27-year-old male who suffered a fall down a flight of stairs, resulting in navicular dislocation and multifocal fractures of the midfoot. The patient underwent a comprehensive management plan, including admission, closed reduction, and internal fixation with parallel K-wires. Radiological evaluations confirmed the extent of the injuries. Postoperatively, the patient received tailored care, incorporating pain management, antibiotics, and thromboprophylaxis. The successful outcome underscores the importance of a structured approach in addressing midfoot injuries, contributing to the existing literature on optimal management strategies. This case report serves as a valuable addition to the growing body of knowledge guiding clinicians in the effective treatment of navicular dislocations and navicular fractures.

摘要

中足损伤,包括舟状骨脱位和舟状骨骨折,在创伤护理中带来了独特的挑战。我们报告了一例27岁男性病例,该患者从一段楼梯上摔下,导致舟状骨脱位和中足多灶性骨折。患者接受了全面的治疗方案,包括入院、闭合复位以及用平行克氏针进行内固定。影像学评估确定了损伤的程度。术后,患者接受了针对性护理,包括疼痛管理、抗生素治疗和血栓预防。成功的结果强调了采用结构化方法处理中足损伤的重要性,为现有的最佳管理策略文献做出了贡献。本病例报告为指导临床医生有效治疗舟状骨脱位和舟状骨骨折的不断增长的知识体系增添了有价值的内容。

相似文献

[1]
The Management of Navicular Dislocation and Multifocal Fractures Following a Fall.

Cureus. 2024-7-15

[2]
Open Navicular Dislocation With Midfoot Dissociation in a 45-Year-Old Man.

Am J Orthop (Belle Mead NJ). 2017

[3]
Complete medial dislocation of the tarsal navicular without fracture: report of a rare injury.

J Foot Ankle Surg. 2013

[4]
Isolated dorsal dislocation of the tarsal naviculum.

Indian J Orthop. 2015

[5]
From Trauma to Triumph: Navigating the Complexities of a Central Hip and Ipsilateral Knee Dislocation with Associated Fractures.

J Orthop Case Rep. 2024-6

[6]
A new and reliable classification system for fractures of the navicular and associated injuries to the midfoot.

Bone Joint J. 2018-2

[7]
Total dislocations of the navicular: are they ever isolated injuries?

J Bone Joint Surg Br. 1999-9

[8]
Medial talonavicular dislocation with nondisplaced navicular fracture: A case report.

Int J Surg Case Rep. 2021-8

[9]
A case report with review of literature of a rare variant of midfoot dislocations (mid-Chopart dislocation): Combined naviculo-cuneiform and calcaneo-cuboid dislocation.

Foot (Edinb). 2021-6

[10]
The Chopart Variant Dislocation: Plantar Dislocation of the Cuboid and Navicular.

Foot Ankle Orthop. 2019-9-16

本文引用的文献

[1]
Outcomes of midfoot and hindfoot fractures in multitrauma patients.

Injury. 2019-2

[2]
Incidence and Characteristics of Midfoot Injuries.

Foot Ankle Int. 2018-9-29

[3]
Functional outcomes of traumatic midfoot injuries.

Injury. 2018-11

[4]
Ankle and midfoot ligaments: Ultrasound with anatomical correlation: A review.

Eur J Radiol. 2018-8-12

[5]
Isolated complete dislocation of the tarsal navicular without fracture: A rare injury.

Tzu Chi Med J. 2016

[6]
The Epidemiology of Emergency Department Trauma Discharges in the United States.

Acad Emerg Med. 2017-10

[7]
Internal Versus External Fixation of Charcot Midfoot Deformity Realignment.

Orthopedics. 2016-7-1

[8]
Fractures and Dislocations of the Tarsal Navicular.

J Am Acad Orthop Surg. 2016-6

[9]
An isolated dorso-medial dislocation of navicular bone: A case report.

J Clin Orthop Trauma. 2015-3

[10]
Acute forefoot and midfoot injuries.

Clin Podiatr Med Surg. 2015-4

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