Verletzungen des Chopart-Gelenks

Rammelt, Stefan; Grass, R.; Schikore, H.; Zwipp, H.

doi:10.1007/s00113-002-0440-5

Cited by 83 publications

(83 citation statements)

References 9 publications

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“…If a lateral or medial rotational instability in the talonavicular joint, so-called swivel dislocation [ 31 ], persists after osteosynthesis, temporary K-wire transfi xation of the involved joint is recommended for 6 weeks during ligament healing. Temporary external tibiometatarsal transfi xation for 6 weeks is required for complex and comminuted injuries in addition to transarticular K-wires [ 143 ].…”

Section: Additional Useful Surgical Proceduresmentioning

confidence: 99%

“…In older patients, avascular necrosis of the navicular may be seen, because of the critical blood supply to this bone. Infections are often seen with delayed treatment [ 143 ].…”

Section: Complicationsmentioning

confidence: 99%

“…Weight bearing is limited to 15-20 kp for 6 weeks. After 6 weeks, removal of K-wires and/or external fi xation is performed [ 143 ]. Stepwise increase of weight-bearing follows according to the type of fracture over the next 3-6 weeks.…”

Section: Postoperative Managementmentioning

confidence: 99%

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Foot and Ankle Injuries

Rein

Tan

Rammelt

et al. 2014

Bone and Joint Injuries

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Man's foot is all his own. It is unlike any other foot. It is the most distinctly human part of the whole of his anatomical make-up.Wood Jones (1944) [ 1 ]The goal of this chapter is to further the understanding of pathomechanisms, performing diagnostics and reconstructing of injured feet, and to demonstrate ways to treat malunions and nonunions. Regaining anatomic joints if possible and rebuilding the normal shape of the foot, even by fusion of joints, is a safe way to avoid pain and to restore function. Anatomy of the FootThe human foot contains 28 bones and is divided into three parts: the forefoot, the midfoot, and the hindfoot ( Fig. 28.1 ) [ 3 , 4 ]. ForefootThe forefoot contains the fi ve metatarsals and toes with two sesamoids under the fi rst metatarsal head and an inconstant sesamoid beneath the fi rst interphalangeal joint. Six weight-bearing surfaces are located at the metatarsophalangeal level (two sesamoids and four lesser metatarsal heads) and fi ve weight-bearing surfaces are located under the distal phalanges in a normal foot.The metatarsals are short tubular bones with a base, shaft, neck, and head. The heads of the metatarsals are strongly connected by the intermetatarsal ligaments. The fi fth metatarsal has a tuberosity at its base, where the plantar aponeurosis, the peroneus brevis, and the peroneus tertius tendon insert.The fi rst toe has two phalanges and the other four toes have three phalanges. The fi rst metatarsal is slightly shorter, broader, and more mobile than the three middle metatarsals, and normally bears as much as one-third to one-half of the body weight through the forefoot and plays a key role in the gait cycle. The metatarsophalangeal joints are ellipsoidal joints, but only the fi rst and fi fth rays allow fl exion/extension and ab-/adduction. The joint capsules are strengthened by collateral ligaments on either side.The two sesamoids at the fi rst metatarsophalangeal joint are well embedded in the capsuloligamentous complex; the medial (tibial) sesamoid is larger than the lateral (fi bular) sesamoid, corresponding to its more important role in weight bearing within the medial sulcus of the metatarsal head.The sesamoids are held together by the strong intersesamoid ligament and the plantar plate, which is fi rmly attached at the base of the proximal phalanx and loosely attached at the neck of the metatarsal via the capsule. The sesamoids are located within the two slips of the fl exor hallucis brevis tendon. The abductor hallucis tendon inserts at the medial sesamoid, the adductor hallucis tendon at the fi bular sesamoid.

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Section: Additional Useful Surgical Proceduresmentioning

confidence: 99%

“…In older patients, avascular necrosis of the navicular may be seen, because of the critical blood supply to this bone. Infections are often seen with delayed treatment [ 143 ].…”

Section: Complicationsmentioning

confidence: 99%

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Foot and Ankle Injuries

Rein

Tan

Rammelt

et al. 2014

Bone and Joint Injuries

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“…Die Verletzungen der einzelnen Knochen entstehen aufgrund ihrer anatomischen Beziehung zueinander und zu den mitbeteiligten Strukturen [7,22]. Beim Os naviculare handelt es sich hierbei um Avulsions-und Körperfrakturen, beim Os cuboideum um die so genannte Nussknackerfraktur, die bei forcierter Vorfußabduktion entstehen kann, und bei den Verletzungen der Ossae cuneiforme um Kompressionsfrakturen, welche häu-fig auch mit Luxationsformen im Chopart-Gelenk assoziiert sind [18,19].…”

Section: Vordere Fußwurzelunclassified

Fehlbeurteilung und -versorgung von Fußverletzungen

Partenheimer¹,

Geerling²,

Lill³

2008

Trauma Berufskrankh

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“…= Welle, Schiffchen). Die anatomische Ausrichtung des Chopart-Gelenks ist ein wichtiger Parameter für ein korrektes Verhältnis von medialer und lateraler Fußsäule [12].…”

Section: Abbildungen 9a Und 9bunclassified

Modifizierte Evans-Osteotomie zur operativen Behandlung des erworbenen Knick-Platt-Fußes

Zwipp

Rammelt

2006

Orthop Traumatol

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Between June 1995 and March 2003, 21 patients with stage II painful pes planovalgus as described by Johnson & Strom underwent a modified Evans osteotomy. In one case an arthrodesis of the first tarsometatarsal joint was carried out, and in four cases a lengthening of the gastrocnemius muscle according to Strayer. A replacement of the insufficient posterior tibial tendon was not necessary in any of the cases. With respect to complications one wound edge necrosis and one nonunion were seen. 15 patients (eleven women, four men, average age 54 years) were followed up for an average of 48 months (12-81 months) postoperatively. The Maryland Foot Score improved significantly from 49.6 points preoperatively to 87.8 points postoperatively (p < 0.01). In the cases of one-sided deformity the foot axes in the weight-bearing radiographs were corrected to being close to the physiologic values of the opposite side.

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Verletzungen des Chopart-Gelenks

Cited by 83 publications

References 9 publications

Foot and Ankle Injuries

Foot and Ankle Injuries

Fehlbeurteilung und -versorgung von Fußverletzungen

Modifizierte Evans-Osteotomie zur operativen Behandlung des erworbenen Knick-Platt-Fußes

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