Nonoperative treatment of talonavicular joint dislocation associated with jones fracture

Document Type : Case Report

Authors

Department of Orthopaedics, Chettinad Hospital and Research Institute, Chennai, Tamil Nadu, India

10.4103/atr.atr_49_22

Abstract

Chopart luxation or talonavicular dislocations are rare injuries seen in clinical practice which constitute only 3.6:1 lakh per year. A proper evaluation involving both plain roentgenogram and computed tomography is necessary for preoperative planning for the management of dislocation. The two common varieties of Chopart luxations are medial and lateral types. In this case report, we discuss about a closed medial type of talonavicular dislocation associated with an undisplaced fracture fifth metatarsal base (Jones fracture) which was managed effectively with closed reduction and Plaster of paris (POP) immobilization. The patient was regularly followed up till 12 weeks post reduction. He was allowed to weight bear at the end of 9 weeks, and the range of movements was assessed at the end of 12 weeks which was found satisfactory. In our case, there is talonavicular medial dislocation with fifth metatarsal base fracture, without any associated ligamentous compromise, which leads us to propose a hypothesis that the fracture of the fifth metatarsal base along with talonavicular disruption may alleviate the other ligamentous injuries. Further studies should be conducted to find out the association between talonavicular dislocations with other metatarsal fractures, which might influence the ligamentous compromise at initial presentation.

Highlights

Arun Kumar Chandhuru [Pubmed] [Google Scholar]

 

Keywords

References

1.
Main BJ, Jowett RL. Injuries of the midtarsal joint. J Bone Joint Surg Br 1975;57:89-97.  Back to cited text no. 1
    
2.
McMinn RM. Last's Anatomy: Regional and Applied. 8th ed. London: Churchill Livingstone; 1990. p. 204-17.  Back to cited text no. 2
    
3.
Wheeless CR. Avascular Necrosis and Salvage of Talus Fractures. In Wheeless' Textbook of Orthopaedics. Towson, MD: Data Trace Internet Publishing; 2016. Available from: http://www.wheelessonline.com/ortho/anv_and_salvage_of_talus_fractures. [Last accessed on 2018 Sep 19].  Back to cited text no. 3
    
4.
Koulouris G, Morrison WB. Foot and ankle disorders: Radiographic signs. Semin Roentgenol 2005;40:358-79.  Back to cited text no. 4
    
5.
Bibbo C, Lin SS, Abidi N, Berberian W, Grossman M, Gebauer G, et al. Missed and associated injuries after subtalar dislocation: The role of CT. Foot Ankle Int 2001;22:324-8.  Back to cited text no. 5
    
6.
William Y, Patrick N, Michael B, Stephen F. Talocalcaneal navicular dislocation: A review. In: The Podiatry Institute Update 2011, p. 49-55.  Back to cited text no. 6
    
7.
Terrence Jose J, Varghese M, Sankaran B. Complex talonavicular fracture dislocation: A case report. Foot and Ankle Online J 2010;3:1. DOI: 10.3827/faoj.2010.0309.0001.  Back to cited text no. 7
    
8.
Jerome, Terrence Jose & Varghese, Mathew. Complex Talonavicular Fracture Dislocation: A case report. The Foot and Ankle Online Journal. 2010. 10.3827/faoj.2010.0309.0001.  Back to cited text no. 8
    
9.
Tucker DJ, Burian G, Boylan JP. Lateral subtalar dislocation: Review of the literature and case presentation. J Foot Ankle Surg 1998;37:239-47.  Back to cited text no. 9
Archives of Trauma Research
Volume 12, Issue 1
March 2023
Pages 55-57

Files

History

  • Receive Date: 19 June 2023
  • Accept Date: 19 June 2023

Share

How to cite

Statistics