title: Diagnostic imaging and unforeseen associated lesions in astragalo-scaphoid dislocation: a case report.
abstract: A case of an isolated astragalo-scaphoid dislocation following a fall from a motorbike is reported. Due to the diagnostic obscurity of the full extent of the injury, computed tomography (CT) with 3D reconstruction was utilized to precisely visualize the articular condition and revealed the presence of small intra-articular bone fragments and calcaneo-cuboid subluxation. Furthermore, the detailed imaging offered valuable information for preoperative planning. Patient has healed without sequelae. In light of the good outcome in this case, we suggest utilizing CT with 3D reconstruction when there is a risk to overlook foot dislocation and potential associated lesions.
authors.affiliation: Orthopaedics and Traumatology Department, Mellino Mellini Hospital Trust, Civil Hospital of Iseo, Via Cipro 30, Brescia, Italy. andrea@orthopaedics.com
authors.forename: Andrea Emilio
authors.initials: AE
authors.lastname: Salvi
authors.forename: Giovanni Pietro
authors.initials: GP
authors.lastname: Metelli
authors.forename: Elio
authors.initials: E
authors.lastname: Domeneghini
authors.forename: Anthony Vatroslav
authors.initials: AV
authors.lastname: Florschutz
authors.forename: Rosita
authors.initials: R
authors.lastname: Bettinsoli
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D016512:Ankle Injuries / Q000000981:diagnostic imaging* / Q000601:surgery; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D021621:Imaging, Three-Dimensional; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D009049:Motorcycles; D018570:Risk Assessment; D013628:Talus / Q000000981:diagnostic imaging / Q000293:injuries*; D013639:Tarsal Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D013640:Tarsal Joints / Q000293:injuries / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome