A Rare Midfoot Injury Case Report: Complete Dislocation of the Navicular With Dislocation of the Cuboid

Luis Beraún-Coronel, José Beraún-Coronel, Fredy Chamorro-Robles
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Abstract

Injuries of the midfoot are rare and they usually occur as a result of high-energy trauma. The navicular and cuboid, bones that belong to the midfoot, are fundamental structures in stabilizing the medial and lateral columns of the foot respectively, so they require an adequate treatment. We present a 26-year-old man with a complete tarsal navicular bone dislocation without associated navicular fracture, and a complete cuboid dislocation after sustaining a 4 meters fall, it was also accompanied by fracture of the lateral cuneiform and the base of the fourth metatarsal. The patient was treated successfully with open reduction and fixation with screw and Kirschner wires. At 18 months follow-up, we considered the patient’s outcome was good obtaining 90 (90/100) points in American Orthopedic Foot and Ankle Society Midfoot Score. Diagnostic Level V.
罕见的足中部损伤病例报告:舟骨完全脱位伴蝶骨脱位
足中部的损伤很少见,通常是由于高能量创伤造成的。舟骨和立方体骨属于中足,分别是稳定足内侧和外侧柱的基本结构,因此需要适当的治疗。我们接诊了一名 26 岁的男性患者,他在 4 米高处摔倒后出现跗骨舟骨完全脱位,但未伴有舟骨骨折,立方体完全脱位,同时还伴有外侧楔骨和第四跖骨基底骨折。患者接受了切开复位术,并用螺钉和 Kirschner 线固定,治疗获得成功。在 18 个月的随访中,我们认为患者的治疗效果良好,在美国骨科足踝协会中足评分中获得了 90 分(90/100)。 诊断等级为五级。
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