Calcaneocuboid joint instability: a novel operative technique for anatomic reconstruction.
A case history of a 13-year-old female national top-level gymnast, suffering from calcaneocuboid joint instability, is presented. The procedure was done as an anatomic repair by capsular reefing, which was augmented using a local periosteal flap. Initially, the athlete twisted her ankle. Clinical investigation revealed no sign of a lateral ankle ligament injury, but following this initial examination, recurrent giving-way of the foot occurred. She additionally felt significant but diffuse pain on the lateral side of the foot during loading in training and competition. For 2 months she was unable to run and conservative treatment failed. Diagnosis of a calcaneocuboid instability was established 4 months after the initial lesion by clinical and x-ray stress examination of the calcaneocuboid joint. Open surgery was successfully performed. Early functional posttreatment was done and the patient returned to full high-level gymnastics ability 16 weeks after surgery. Two years later, a similar injury occurred to the opposite calcaneocuboid joint and the same operative procedure again led to full sports ability.
Lohrer
Heinz
H
Institute of Sports Medicine, Frankfurt/Main, Germany. lohrer@sport.uni-frankfurt.de
Arentz
Sabine
S
D000293:Adolescent; D005260:Female; D018409:Foot Injuries / Q000150:complications; D006173:Gymnastics; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000534:rehabilitation / Q000601:surgery*; D011182:Postoperative Care; D019651:Plastic Surgery Procedures / Q000379:methods*; D012008:Recurrence; D013524:Surgical Flaps; D013640:Tarsal Joints / Q000503:physiopathology / Q000601:surgery*