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Related Concept Videos

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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A Mouse Model of Ankle-Subtalar Complex Joint Instability
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Acute plantar midtarsal dislocation with intercuneiform dislocation: Case study, diagnosis and management.

Andrew P Harris1, Joseph A Gil1, Avi D Goodman1

  • 1Department of Orthopaedics, Alpert Medical School of Brown University, Providence, RI, United States.

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|November 9, 2016
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Summary

This case report details a rare, severe midtarsal joint dislocation with multiple associated foot fractures. It highlights the complexity of diagnosing and managing these high-energy injuries.

Keywords:
ChopartCuneiformFootMidtarsalTalonavicularTransverse tarsal

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Podiatric Medicine

Background:

  • The midtarsal joint, comprising talonavicular and calcaneocuboid articulations, is crucial for foot biomechanics.
  • Dislocations of the midtarsal joint are uncommon due to robust ligamentous structures.
  • Previous reports document various dislocation directions (medial, lateral, dorsal, plantar) resulting from high-energy trauma.

Purpose of the Study:

  • To present a unique case of extensive midtarsal joint dislocation.
  • To detail associated complex foot fractures in a young adult male.
  • To discuss the diagnostic and management strategies for such severe injuries.

Main Methods:

  • Case report of a 24-year-old male with a high-energy foot injury.
  • Detailed description of the injury mechanism, diagnostic imaging, and surgical intervention.
  • Review of operative techniques and post-operative follow-up.

Main Results:

  • The patient sustained bilateral talonavicular and calcaneocuboid plantar dislocations.
  • Associated injuries included intercuneiform, metatarsal base, and lateral cuneiform fractures.
  • The case involved an open proximal fifth metatarsal fracture, indicating severe trauma.

Conclusions:

  • This case underscores the possibility of severe, multi-fragmentary midtarsal joint dislocations and associated fractures.
  • Prompt diagnosis and aggressive surgical management are critical for optimal outcomes.
  • Such injuries necessitate a comprehensive approach to address all bony and soft tissue damage.