关键词: Dislocation Medial swivel dislocation Midfoot dislocation Reduction Talonavicular joint

来  源:   DOI:10.1016/j.tcr.2024.101073   PDF(Pubmed)

Abstract:
Medial swivel dislocation is a rare subtype of midtarsal bone dislocation, mostly associated with fracture rather than isolated dislocation. It is caused by medially or laterally direct forces to the midfoot. In case of failed closed reduction of the deformity, the patient should undergo open reduction and stabilization of the injury as soon as possible. We are presenting a 17-year-old, male, who sustained a left ankle injury and presented with a deformity, closed reduction of the deformity failed multiple times, and the patient was taken for open reduction and stabilization of the deformity in the operating theater. Intra-operatively, the dislocation was locked with the lateral process of the navicular being impacted into the taller head. Six months following the injury the patient was back to his pre-injury status and did not have any recurrent dislocation of the midfoot.
摘要:
内侧旋转脱位是一种罕见的中骨脱位亚型,主要与骨折有关,而不是孤立的脱位。它是由内侧或侧向指向中足的力引起的。如果畸形闭合复位失败,患者应尽快进行切开复位和损伤稳定。我们要介绍一个17岁的孩子,男性,左脚踝受伤并出现畸形,闭合复位畸形失败多次,患者在手术室接受切开复位和畸形稳定治疗。术中,脱位被锁定,舟骨的侧突被撞击在较高的头部中。受伤后六个月,患者恢复了受伤前的状态,并且没有任何复发性的中足脱位。
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