An Unusual Case Of Talonavicular Dislocation With Associated Ipsilateral Foot Fractures

Ede, Matthew P Newton; Miller, C; Malik, M H A; Khan, SA

doi:10.1136/jramc-152-02-07

Cited by 6 publications

(7 citation statements)

References 5 publications

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“…Associated CC joint injuries are common leading to significant long term disability [10,23]. The incidence of associated injuries in the present study is comparable to previous reports of navicular and other midfoot injuries [10,13,23,25,28,29,34,35,43,46,[49][50][51][52]. Patients suffering from more complex foot injuries, represented by a higher number of associated injuries, were more prone to long term disability.…”

Section: Associated Injuries and Clinical/functional Outcomesupporting

confidence: 92%

Results and complications of operative and non-operative navicular fracture treatment

Coulibaly

Jones

Sietsema

et al. 2015

Injury

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Section: Associated Injuries and Clinical/functional Outcomesupporting

confidence: 92%

Results and complications of operative and non-operative navicular fracture treatment

Coulibaly

Jones

Sietsema

et al. 2015

Injury

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“…It is reflected by the fact that a PubMed search with the key words 'ipsilateral talus and calcaneum fractures' gave just 6 results with only 3 being relevant and with further manual search we were able to find one more case report with similar foot injury. 3 In a study by Seybold et al, 4 the authors reported 11 patients of whom nine had extra-articular calcaneal fractures resulting from relatively low-energy trauma. In their case series, all injuries were closed and it was concluded that most patients had a favorable clinical outcome.…”

Section: Discussionmentioning

confidence: 99%

“…Biomechanical studies have shown that residual displacements as little as 2 mm of the talar neck altered the contact characteristics of the subtalar joint. 10 Forefoot adduction, calcaneal internal rotation, and loss of subtalar motion may be associated with persistent Subtalar arthrodesis (4), All excellent or None ORIF of both fractures (1), good BKA (1), immobilization (3) Newton et al 3 …”

Section: Discussionmentioning

confidence: 99%

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Ipsilateral Type IV Closed Talus and Calcaneal Fractures: A Case Report and Review of Literature

Bachhal¹,

Bhagwat²,

Bali³

2013

Journal of Postgraduate Medicine, Education and Research

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Talar and calcaneal fractures are commonly associated with other musculoskeletal injuries and systemic trauma. Both injuries in isolation have a guarded clinical outcome, and are associated with numerous complications whether treated operatively or nonoperatively. Few studies, however, have reported cases with ipsilateral closed talus and calcaneal fractures. We report one such rare case presenting with closed ipsilateral type IV talar neck fracture and type IV communited intra-articular calcaneal fracture as a result of high energy trauma. Unfortunately the patient had a concurrent vascular injury at the proximal tibia level which ultimately necessitated amputation. Through our report we highlight the universally poor results in such cases and discuss the management options if encountered with such a rare pattern of injury.

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“…Ankylosis and equino-varus deformity can occur with incomplete talonavicular reduction. Cases of isolated mid-tarsal dislocation in medial, lateral, or plantar directions have been reported 6 . These injuries are due to complex multidirectional forces.…”

Section: Discussionmentioning

confidence: 99%

A rare case of isolated Dorso-Medial fracture dislocation of navicular bone

Chachcha¹,

Gandhi²

2018

Int. J. Orthop. Sci.

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The tarsal navicular bone is strategically located in the uppermost portion of the medial longitudinal arch of the foot, and hence, plays a major role in weight bearing during ambulation. It acts as the keystone for vertical stress on the arch. Multiple deforming forces act on the navicular during various sporting activities and dancing and in high energy injuries resulting in varied degrees of fracture, subluxation or dislocation involving the tarsus and metatarsus. A 40-year-old male patient with history of Road Traffic accident presented in casualty with chief complain of pain and swelling over his right foot. Patient was examined and a bony swelling was palpated clinically over medial aspect of foot and it had severe tenderness. Patient was sent for X-ray and was diagnosed with isolated navicular fracture dislocation in AP, Oblique and lateral view of foot. Patient was posted for emergency reduction in OT under IITV guidance under anaesthesia. Closed reduction was tried and was successful. The navicular was then fixed with percutaneous K-Wire. Post op a below knee slab was given for 6 weeks and pt. was under strict nonweight bearing. At 6 weeks follow up K wires were removed and pt. was allowed weight bearing. Patient had no complains. Follow up radiographs showed no dislocation of navicular. Isolated navicular bone fracture dislocation can be managed with closed reduction and K-Wire fixation with no other complains in subsequent follow up. Although we have 6 months of follow up, with no any complains, we feel the patient should still be examined till 1 year with regular follow up.

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An Unusual Case Of Talonavicular Dislocation With Associated Ipsilateral Foot Fractures

Cited by 6 publications

References 5 publications

Results and complications of operative and non-operative navicular fracture treatment

Results and complications of operative and non-operative navicular fracture treatment

Ipsilateral Type IV Closed Talus and Calcaneal Fractures: A Case Report and Review of Literature

A rare case of isolated Dorso-Medial fracture dislocation of navicular bone

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