Isolated dorsal dislocations of the talonavicular and calcaneocuboid articulations (Chopart joints) from a low-energy mechanism

Harris, Andrew P.; Johnson, Joey P.; Waryasz, Gregory R.

doi:10.1016/j.ajem.2015.12.054

Cited by 9 publications

(4 citation statements)

References 10 publications

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“…4 Las lesiones de la articulación de Chopart por lo general son causadas por traumatismos de alta energía; ocurren con mayor frecuencia como resultado de un aplastamiento directo en el dorso del pie durante un accidente automovilístico o caídas de gran altura. 4,5 Las fuerzas dirigidas plantarmente del mediopié predisponen a dislocar el mediopié en dirección plantar en relación con el retropié y se asocia con un mayor traumatismo de tejidos blandos. [6][7][8] Bosman y cols, 9 reportaron que 80% de estas lesiones fueron luxaciones mediales y 17% laterales.…”

Section: Discussionunclassified

Luxación pura de articulación de Chopart manejada mediante reducción abierta y fijación interna: reporte de un caso

et al. 2022

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La articulación de Chopart está formada por las articulaciones astrágalo-escafoidea y calcáneocuboidea. Ambas articulaciones interactúan estrechamente entre sí y con la articulación subastra-galina dentro del complejo de la triple articulación. 1,2 En consecuencia, el mal funcionamiento de una articulación afectará negativamente a las otras dos articulaciones, lo que limitará sustancialmente la función global del pie. Tanto la articulación astrágalo-escafoidea como la calcáneo-cuboidea están estabilizadas por fuertes CASO CLÍNICO

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Section: Discussionunclassified

Luxación pura de articulación de Chopart manejada mediante reducción abierta y fijación interna: reporte de un caso

et al. 2022

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“…37 Fracture-dislocations among low-energy traumas are rare but have been reported in misstep injuries. 38…”

Section: Differential Diagnosis High-energy Midtarsal Injuriesmentioning

confidence: 99%

Don't Miss Me: Midfoot Sprains, A Point-of-Care Review

Koetser,

Espinosa Hernández,

Kerkhoffs

et al. 2023

Semin Musculoskelet Radiol

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Athletes practicing high-contact sports are exposed to an increased risk of midfoot injuries, namely midtarsal sprains. The complexity of reaching an accurate diagnosis is clearly depicted in the reported incidence of midtarsal sprains, ranging from 5% to 33% of ankle inversion injuries. Because the focus of the treating physician and physical therapist is on lateral stabilizing structures, midtarsal sprains are missed at initial evaluation in up to 41% of patients, with delayed treatment as a result.Detecting acute midtarsal sprains requires a high degree of clinical awareness. Radiologists must become familiar with the characteristic imaging findings of normal and pathologic midfoot anatomy to avoid adverse outcomes such as pain and instability. In this article we describe Chopart joint anatomy, mechanisms of midtarsal sprains, clinical importance, and key imaging findings with a focus on magnetic resonance imaging. A team effort is essential to provide optimal care for the injured athlete.

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“…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 [ ...…”

Section: Appendixmentioning

confidence: 99%

Chopart dislocations: a review of diagnosis, treatment and outcomes

Metcalfe,

Aamir,

Mason

2023

Arch Orthop Trauma Surg

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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.

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Isolated dorsal dislocations of the talonavicular and calcaneocuboid articulations (Chopart joints) from a low-energy mechanism

Cited by 9 publications

References 10 publications

Luxación pura de articulación de Chopart manejada mediante reducción abierta y fijación interna: reporte de un caso

Luxación pura de articulación de Chopart manejada mediante reducción abierta y fijación interna: reporte de un caso

Don't Miss Me: Midfoot Sprains, A Point-of-Care Review

Chopart dislocations: a review of diagnosis, treatment and outcomes

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