Acute plantar midtarsal dislocation with intercuneiform dislocation: Case study, diagnosis and management.
The midtarsal joint, also known as the Chopart or the transverse tarsal joint, is composed of the talonavicular and calcaneocuboid articulations.1Midtarsal joint dislocations are rare injuries given the strong periarticular ligamentous support.2, 3 Medial, lateral, dorsal, and rarely plantar dislocations have been reported from multiple high-energy mechanisms.4, 5 We describe the case of a 24-year-old male who sustained talonavicular and calcaneocuboid plantar dislocations associated with a middle and lateral intercuneiform dislocation, open proximal 5th metatarsal fracture, 2nd-4th metatarsal base fractures, and lateral cuneiform fracture. The mechanism of injury, diagnosis, management, operative intervention, and follow up are discussed.
Department of Orthopaedics, Alpert Medical School of Brown University, Providence, RI, United States.
Andrew P
AP
Harris
Department of Orthopaedics, Alpert Medical School of Brown University, Providence, RI, United States.
Joseph A
JA
Gil
Department of Orthopaedics, Alpert Medical School of Brown University, Providence, RI, United States.
Avi D
AD
Goodman
Department of Orthopaedics, Alpert Medical School of Brown University, Providence, RI, United States.
Christopher R
CR
Nacca
Department of Orthopaedics, Alpert Medical School of Brown University, Providence, RI, United States.
Todd R
TR
Borenstein
Chopart; Cuneiform; Foot; Midtarsal; Talonavicular; Transverse tarsal