Acute plantar midtarsal dislocation with intercuneiform dislocation: Case study, diagnosis and management.

Harris, Andrew P; Gil, Joseph A; Goodman, Avi D; Nacca, Christopher R; Borenstein, Todd R · J Orthop · 2017

case_report · Level V

Where this comes from

Abstract

The midtarsal joint, also known as the Chopart or the transverse tarsal joint, is composed of the talonavicular and calcaneocuboid articulations.<sup>1</sup> Midtarsal 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.

Anatomy