An unusual midfoot injury pattern: Navicular-cuneiform and calcaneal-cuboid fracture-dislocation

Chopart dislocations: a review of diagnosis, treatment and outcomes

“…Reduction of Chopart joint ROM by approx. 50% Schildhauer et al [ 49 ] 27 M Fall from 5 m −ve Complete lateral Chopart dislocation + navicular and cuboid fracture from crush XR Day 7—Internal fixation (bridge plate for navicular and plate for cuboid) following closed reduction and Ex-fix for soft tissue recovery 12w of toe-touch WB 6w K-wires removed and medial column bridge plate was shortened to allow for restoration of TNJ motion One year: all hardware was removed because of soft tissue irritation at the dorsum of his foot when wearing shoes Harris et al [ 50 ] 25 M Missed step descending stairs −ve Dorsal Chopart dislocation + navicular fracture XR + CT Closed reduction failed ORIF Non-WB (no timeframe specified) Lost to follow up Fares et al [ 51 ] 20 M Forklift Crush injury (MVA) PES + ve CCJ + NCJ dislocation + cuboid impaction fracture and avulsion fracture of anterior calcaneal process XR + CT Closed reduction failed ORIF (CCJ K-wires, NC Plate) 8w of BK cast, K wires removed at 12w 1 year: patient complains of stiffness and intermittent pain on walking removal of hardware is planned Alhadhoud et al [ 52 ] 25 M Forklift crush injury (MVA) −ve Open fracture dislocation of CCJ + NCJ + AP calcaneal fracture XR + CT Internal fixation 5 weeks following closed reduction due to infection NC1/2 plate, CCJ K-wire 5w non-WBBK cast during infection Non-WB no cast for 6 weeks after ORIF followed by progressive WB 14 weeks: VAS 0/10, AOFAS 83, EQ5D 90, no complications Puente et al [ ...…”