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Midtarsal dislocations in children.

K V Hosking¹, E B Hoffman

¹Red Cross Children's Hospital, Cape Town, South Africa.

Journal of Pediatric Orthopedics

|September 17, 1999

Summary

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Midtarsal dislocations in children can be missed due to other injuries. The calcaneocuboid joint is the key pathology, best diagnosed with lateral radiographs.

Area of Science:

Pediatric Orthopedics
Foot and Ankle Surgery
Radiology

Background:

Midtarsal dislocations are rare pediatric foot injuries.
Diagnosis can be challenging due to complex anatomy and associated injuries.

Observation:

Four pediatric cases of midtarsal dislocations were reviewed.
Two cases experienced diagnostic delays attributed to concurrent midtarsal trauma.
The primary injury involved the calcaneocuboid joint (dislocation or subluxation).

Findings:

The calcaneocuboid joint is the critical site of pathology in these injuries.
Lateral radiography proved to be the most reliable imaging modality for diagnosis.

Implications:

Related Experiment Videos

Emphasizes the importance of recognizing calcaneocuboid joint involvement in pediatric foot trauma.

Highlights the diagnostic utility of lateral radiographs for midtarsal dislocations.

Suggests a high index of suspicion is needed to avoid delayed diagnosis in pediatric foot injuries.