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Medial swivel dislocation with impacted navicular bone into the talar head: A case report
Ibrahim Saeed Ibrahim1, Isam Sami Moghamis1, Kareem Elsweify1
1Hamad Medical Corporation, Orthopedics Surgery, Doha, Qatar.
Trauma Case Reports
|July 8, 2024
Summary
Medial swivel dislocation, a rare midtarsal injury, often requires surgical intervention when closed reduction fails. Prompt open reduction and stabilization led to a full recovery in a young male patient.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Podiatric Medicine
Background:
- Medial swivel dislocation is an uncommon midtarsal bone injury, typically occurring with fractures due to direct midfoot impact.
- Prompt surgical intervention, including open reduction and stabilization, is recommended for failed closed reduction cases.
Observation:
- A 17-year-old male presented with a left ankle injury and deformity consistent with medial swivel dislocation.
- Multiple attempts at closed reduction were unsuccessful, necessitating surgical intervention.
Findings:
- Intraoperative findings revealed the navicular's lateral process impacted into the talar head, locking the dislocation.
- Open reduction and stabilization were performed to address the complex midtarsal bone injury.
Implications:
- Early surgical management of medial swivel dislocation can restore foot function and prevent chronic issues.
- This case highlights the importance of timely open reduction for successful outcomes in complex midtarsal dislocations.
