A case report with review of literature of a rare variant of midfoot dislocations (mid-Chopart dislocation): Combined naviculo-cuneiform and calcaneo-cuboid dislocation

Genena, Ahmed; Abouelela, Amr; Fadel, Mohamed H.

doi:10.1016/j.foot.2021.101806

Cited by 3 publications

(8 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nevertheless, intra-operatively, there was satisfactory joint congruence and stability in the midfoot. Fixation was applied to prevent the occurrence of any future deformity such as pes planus, which occurred with Genena, Abouelela and Fadel's patient, who also developed midfoot arthritis [10] . For the ORIF stage of treatment, we utilized a hybrid technique by using plates and k-wires; this technique is similar to the one used by Kummer, Crevoisier and Eudier [8] .…”

Section: Discussionmentioning

confidence: 99%

“… After two weeks: ORIF with plate and screws No functional outcome recorded Alayed [9] One case presented with NC joint dislocation and fracture-dislocation of CC associated with calcaneus fracture. ORIF with K-wire 12 months AOFAS 90 Genena, Abouelela and Fadel [10] One case presented CC and NC joints dislocation associated with lateral wall calcaneus fracture. ORIF with K-wire No functional outcome recorded Keys: ORIF: open reduction and internal fixation.…”

Section: Discussionmentioning

confidence: 99%

“…Several other case reports have described this associated injury as well, which is possibly due to the compressive force exerted on the CC joint due to hyperabduction of the forefoot [6] , [7] , [8] . Several treatment strategies have been reported to tackle combined NC and CC fracture-dislocations, including closed reduction (CR) and ORIF using K-wires only or plates and screws or both [3] , [5] , [6] , [7] , [8] , [9] , [10] . The justification for performing an open fixation is that it has been proven to result in better functional outcome scores amongst multiple patients with various midfoot injuries [16] .…”

Section: Discussionmentioning

confidence: 99%

“…In particular, combined fracture and dislocation of the calcaneocuboid (CC) and naviculocuneiform (NC) joints is a very rare injury; therefore, it is under-reported [3] . The uncommonness of this injury and its relation to high-energy trauma are attributable to the robust bony support and firm ligamentous attachments surrounding the CC and NC joints [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] . Combined fracture and dislocation of the CC and NC joints were reported by eight studies previously [4] , [5] , [6] , [7] , [8] , [9] , [10] .…”

Section: Introductionmentioning

confidence: 99%

“…The uncommonness of this injury and its relation to high-energy trauma are attributable to the robust bony support and firm ligamentous attachments surrounding the CC and NC joints [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] . Combined fracture and dislocation of the CC and NC joints were reported by eight studies previously [4] , [5] , [6] , [7] , [8] , [9] , [10] . However, only one study has reported an associated open fracture [6] .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Open fracture dislocation of the calcaneocuboid and naviculocuneiform joints: A case report

Alhadhoud

Alsiri²,

Mohammad

et al. 2022

Trauma Case Reports

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Open fracture dislocation of the calcaneocuboid and naviculocuneiform joints: A case report

Alhadhoud

Alsiri²,

Mohammad

et al. 2022

Trauma Case Reports

View full text Add to dashboard Cite

show abstract

Chopart dislocations: a review of diagnosis, treatment and outcomes

Metcalfe,

Aamir,

Mason

2023

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

Introduction Chopart injuries can be allocated into 4 broad groups, ligamentous injury with or without dislocation and fracture with or without dislocation, which must occur at the talonavicular joint (TNJ) and/or calcaneocuboid joint (CCJ). Chopart dislocations are comprised of pure-dislocations and fracture-dislocations. We aim to review the literature, to enable evidence-based recommendations. Methods A literature search was conducted to identify relevant articles from the electronic databases, PubMed, Medline and Scopus. The PRISMA flow chart was used to scrutinise the search results. Articles were screened by title, abstract and full text to confirm relevance. Results We identified 58 papers for analysis, 36 case reports, 4 cohort studies, 4 case series and 14 other articles related to the epidemiology, diagnosis, treatment and outcomes of Chopart dislocations. Diagnostic recommendations included routine imaging to contain computed tomography (CT) and routine examination for compartment syndrome. Treatment recommendations included early anatomical reduction, with restoration and maintenance of column length and joint congruency. For both pure-dislocations and fracture-dislocations urgent open reduction and internal fixation (ORIF) provided the most favourable long-term outcomes. Conclusions Chopart dislocations are a complex heterogenous midfoot injury with historically poor outcomes. There is a relative paucity of research discussing these injuries. We have offered evidence-based recommendations related to the clinical and surgical management of these rare pathologies.

show abstract

Closed Reduction and Percutaneous Pinning in Isolated Cuboid Dislocation Management: A Case Report

Loyst,

Hance,

Paulus

2023

Cureus

View full text Add to dashboard Cite

Cuboid dislocations are a rare type of injury with few cases reported. A 41-year-old female came in for an assessment of her left foot, seeking evaluation 13 days post-injury. On inspection of the left lower extremity, we found swelling and ecchymosis throughout the midfoot. There was dimpling along the fourth/fifth tarsometatarsal (TMT) joint with palpable dorsal subluxation. A closed cuboid reduction with percutaneous pinning was performed 20 days after the initial injury. The cuboid was reduced with a combination of traction and direct pressure. One 1.6 mm Kirschner wire was passed from the fifth metatarsal across the TMT joint into the cuboid. At the 10-week follow-up appointment, she was ambulating with her boot and had successfully returned to work as a teacher. Radiographs demonstrated a maintained reduction of the dislocation and interval healing of the navicular and fourth metatarsal base fractures. Dislocations of the cuboid have only a handful of cases reported. They can occur in isolation or with other injuries of the midfoot. This patient was successfully treated with closed reduction and percutaneous pinning. Further studies are required to obtain a consensus on optimal treatment for these types of injuries.

show abstract

A case report with review of literature of a rare variant of midfoot dislocations (mid-Chopart dislocation): Combined naviculo-cuneiform and calcaneo-cuboid dislocation

Cited by 3 publications

References 10 publications

Open fracture dislocation of the calcaneocuboid and naviculocuneiform joints: A case report

Open fracture dislocation of the calcaneocuboid and naviculocuneiform joints: A case report

Chopart dislocations: a review of diagnosis, treatment and outcomes

Closed Reduction and Percutaneous Pinning in Isolated Cuboid Dislocation Management: A Case Report

Contact Info

Product

Resources

About