Talonavicular dislocation and nondisplaced fracture of the navicular (original) (raw)
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Case Reports in Orthopedics
A 32-year-old white male was on a second-story balcony when he fell off and landed on the cement below. With initial X-rays being read as negative on the radiology report due to the subtle nature of the injury, the patient was promptly diagnosed with a medial swivel dislocation by the orthopaedic team, which ended up being fixed, unstable, and irreducible. The patient also had acute skin compromise and needed to be taken to the operating room prior to progression of skin breakdown. This dislocation pattern is a rare variant, especially when paired with the fixed nature of the dislocation and the soft tissue compromise. In the end, open treatment was necessary in order to reduce the talonavicular joint. Because of early recognition and prompt treatment, skin breakdown was avoided. Internal screw fixation of the fractured navicular bone was needed along with K-wire insertion to hold the normal anatomy of the talonavicular joint reduced. All hardware was ultimately removed after healin...
Isolated Medial Talonavicular Dislocation: A Case Report
Scholars Journal of Applied Medical Sciences, 2020
Case Report Dislocation of the talonavicular joint is rare. We report a case of isolated Medial talonavicular dislocation in a 46year old man. A closed reduction has been performed, followed of 6 weeks in a casting. After 18 years of follow-up, none complications have been reported.
Talonavicular Dislocation—What Lies Beneath?
Journal of the American Podiatric Medical Association, 2018
Background: The talonavicular joint is a rare site of dislocation. Its etiology varies and can be the result of either acute trauma or a chronic degenerative process that most commonly occurs in patients with rheumatoid arthritis or Charcot arthropathy. Our aim is to highlight the relationship between the underlying pathology of talonavicular dislocations and the final outcome in the case of operative management. Methods: We present three cases of talonavicular dislocation with the dislocation itself as the only common denominator, and a completely different etiology, natural history, treatment, and prognosis among them. Results: There was one case of a traumatic talocalcaneonavicular dislocation in a healthy individual, one case in a rheumatoid arthritis patient, and one case in a patient with diabetes mellitus. All patients were treated surgically. The outcomes were excellent, fair, and poor, respectively. Conclusions: Among many factors that influence prognosis, it is equally cri...
Isolated lateral swivel dislocation of talonavicular joint: A rare case report
International Journal of Orthopaedics Sciences, 2021
The authors present a rare case report of a 30 year old male presented with a history of road traffic accident with complain of severe pain and swelling in right ankle and foot. On examination, tenderness and swelling was reported on right foot. Neurovascular examination of right foot was normal. Closed reduction manipulation under sedation was not successful in the emergency room. Open reduction under spinal anaesthesia was performed 12 hours after injury in the operating room. A 4cm longitudinal incision over the talonavicular joint was used for reduction. The talonavicular joint was stabilized with two Kirschner wires placed from the navicular bone to the talus. The Kirschner wires were removed at six weeks immediately after the K-wire removal, the joint was stressed under fluoroscan and deemed stable. Two weeks after the K-wire removal, the joint remained stable and the cast were removed 6 weeks after surgery. The patient was allowed to bear weight, with a gradual increase of load. At 6-month follow-up, his foot was painless and stable. He returned to work in the third month after trauma.
Isolated Transcalcaneal Talonavicular Dislocation: A Severe Injury Related to a Low-energy Mechanism
The Journal of Foot and Ankle Surgery, 2013
Level of Clinical Evidence: 4 Keywords: elderly external fixation fracture osteoporosis surgery talus trauma abstract Transcalcaneal talonavicular dislocation is a rare injury, with very few reported cases. Of these, most have been the result of high-energy mechanisms such as road traffic collisions or falls from a height. The management of this injury is challenging, and treatment is fraught with a high rate of disability, infection, and amputation. We describe the successful management of the first reported case of a low-energy transcalcaneal talonavicular dislocation in a 71-year-old female. Combined external and internal fixation was used to reduce and maintain the injury, with a resultant good functional and complication-free outcome at 1 year after the injury. Our experience highlights the prevalence of these devastating injuries caused by relatively benign mechanisms in an increasingly older population with osteoporotic bone. It also indicates that operative stabilization of a low-energy injury can be more successful than that with the traditional high-velocity trauma.
Medial swivel dislocation of the talonavicular joint
Indian Journal of Orthopaedics, 2009
Medial swivel dislocation, a variant of subtalar dislocation is uncommon. A 35 years old male presented after 6 weeks old injury to left ankle following motor cycle accident. He had pain, swelling around ankle and was unable to bear weight on left foot. Clinical examination revealed diffuse swelling and tenderness in mid foot region. His plain X rays and CT scan showed talonavicular dislocation with compression defect of the head of the talus. He was treated by open reduction and K-wire Þ xation. At 32 months follow up foot was painless, stable with normal range of ankle and subtalar motion.
Trauma Cases and Reviews
Introduction: Tarsal navicular bone dislocation is a rare condition which can lead to long term disability, mainly due to difficulties to obtain an anatomical reduction. Only few cases have been reported. Case presentation: We report a case of a 21-year-old Cameroonian male who was admitted to the emergency department after a road traffic accident. The physical examination reveals a patient unable to bear weight, with a painful swelling of the antero-medial dorsal region of the right foot, without neurovascular deficits or another lesion. The plain X-ray and the CT scan of the right foot and ankle reveal a medial dislocation of the talonavicular joint without associated fracture. An open reduction was done and two Kirschner wires of 2 mm were place to maintain the reduction. The patient was discharge after five days with an ankle/foot X-ray showing successful reduction of the talonavicular joint. He was reviewed at one and twelve weeks later with no complain and a normal X-ray. Conclusion: Tarsal navicular bone dislocation is a rare condition which can lead to long term disability. Even in resources constraint settings, a CT-scan should be done when available, in addition to radiography to rule out an associated lesion which can be missed by the X-ray, and to plan the surgical approach.
Trauma Cases and Reviews: Isolated Dislocation of the Tarsal Navicular without Fracture: Case Report
Isolated dislocation of the tarsal navicular bone is a rare lesion. The mechanism of this specific trauma is still not well to understood, due to the strength needed in different ways and directions for its occurrence, in a complex way. Few cases of an isolated dislocation of the navicular reported in medical literature, and there is little information about complications how the patients evolve after years of postoperative. The authors present a case of a woman, 39-years-old, who suffered a complete dislocation of the talus-navicular of her left foot, due to a fall. After initial k-wire fixation, the patient presented herself 6 weeks later with chondrolysis of the tarsus articulations and submitted to selective arthrodesis of talus navicular and cuneiform medial-talus-navicular (TN + CTN). Having passed 13 years of post-surgery, the patient presents a good clinical evolution and articulation functionality. It concluded that the isolated navicular dislocation, even though promptly and adequately reduced and stabilized, may develop complications, such as chondrolysis, and the correct handling by selective arthrodesis enables a satisfactory functional and clinical outcome.