Fratura do escafoide társico em um praticante de parkour, uma lesão rara – Relato de Caso e Revisão da Literatura

Abstract

Tarsal navicular fractures, as well as other midfoot injuries, are rare, and can result in severe impairment if not properly treated. Parkour, a modern sport, is gaining popularity among young individuals in urban areas, and is prone to result in high-energy trauma, which is scarcely described in the literature. The following is a report of a rare case of tarsal navicular fracture in a 17-year-old male, sustained during parkour practice, which was treated successfully with open reduction and internal fixation. The description of the case emphasizes the challenges of its approach; the discussion highlights the treatment options and goals. The case should also raise awareness about the increasing occurrence of these uncommon lesions.

Comminuted navicular fracture treated with an internal fixation plate – Technical Tip

“…The treatment aims to restore the medial longitudinal arch and the anatomical relationship between the hindfoot and the forefoot, promoting stability of the midfoot (1) . In this injury pattern with small-sized comminuted fragments, conventional fixation techniques may not be feasible or sufficiently stable (1,3,5,9) . Kirschner wires may not provide sufficient stability to maintain the length and shape of the medial midfoot arch, and plate and screw systems may cause excessive vascular damage (9)(10)(11) .…”

“…In this injury pattern with small-sized comminuted fragments, conventional fixation techniques may not be feasible or sufficiently stable (1,3,5,9) . Kirschner wires may not provide sufficient stability to maintain the length and shape of the medial midfoot arch, and plate and screw systems may cause excessive vascular damage (9)(10)(11) . Furthermore, late complications and poor outcomes have been associated with comminuted navicular fractures, including avascular necrosis, delayed union, osteoarthritis, joint stiffness, and chronic pain, especially when the medial column is not restored (3,10,11) .…”

Mencegah Keparahan Cedera dengan Pemberian Edukasi Penanganan Cedera Akut pada Komunitas Parkour

“…Parkour merupakan olahraga yang dilakukan oleh traceur (orang yang melakukan parkour) dengan tujuan untuk berpindah ke satu titik ke titik lain dalam lingkungan yang kompleks dengan cara yang cepat dan efisien tanpa peralatan tambahan (Karmali et al, 2019;Pagnon et al, 2022).…”

Combined Electromagnetic and Electrohydraulic Focused ESWT and EMTT for Delayed Calcaneal Union in an Adolescent Parkour Athlete - A Case Report

“…A cross-sectional report from the United States underscores that more than half of all reported injuries (58%) affected patients' extremities with even children of 8 years presenting with Parkour injuries. 3 Significant bone fractures have been reported in case reports with multiple foot fractures with dislocations in one case 4 and a tarsal navicular fracture in a 17-year-old Portuguese Parkour athlete, 5 who was operated on after a 3.5m fall in a two stage approach first with external fixation and two weeks later with open reduction and internal fixation. After six weeks of non-weight bearing, fracture healing was achieved after 15 weeks in the latter patient.…”