Entre los huesos de la 1ra. y 2da línea del tarso. Une el calcáneo al astrágalo. El cuboides al navicular. 2 articulaciones: lateral. Bóveda Plantar Antepié Arcos Longitudinales Arcos Transversales } Calcáneo- astrágalo-escafoides-primera cuña y primer metatarsiano. Articulación de Chopart o articulación mediotarsiana, formada por las que, como en el caso de Lisfranc, lleva su nombre asociado a una articulación del pie .
|Published (Last):||22 March 2015|
|PDF File Size:||9.91 Mb|
|ePub File Size:||17.5 Mb|
|Price:||Free* [*Free Regsitration Required]|
Fractures and dislocations of the midfoot: From that moment partial load bearing was allowed using an orthopedic hard-soled shoe with an orthotic medial arch support insole.
In the present study a midtarsal joint dislocation of eight weeks of evolution is reported which it was reduced through a double medial and lateral approach. Close reduction is a valid procedure in subluxations, acute dislocations when anatomy could be perfectly restored or in cases where surgery is contraindicated 5,9.
Ankle and foot injuries: J Bone Joint Surg Br ; In cases of poor outcome and at the persistence of pain will be indicated salvage procedures including osteotomies and arthrodesis.
Exercises that strengthen and stretch the gastrocnemius should be emphasized to the patient. J Orthop Surg Hong Kong ; Arch Orthop Trauma Surg ; The importance of being aware of midtarsal injuries.
Isolated dorsal midtarsal Chopart dislocation: Chopart midtarsal joint dislocations are relatively rare but potentially serious injuries. Comparing the outcomes between Chopart, lisfranc and multiple metatarsal shaft fractures.
A subtle radiographic sign of possible Chopart joint dislocation. Main and Jowett 11 attempted to classify these injuries articulcaion five types according to the direction of the deforming force and the resulting displacement: Since then, the midtarsal joint is referred as Chopart joint. Open reduction and internal fixation is the most precisely method restoring the anatomy and thus gets the best functional outcomes.
Given the poor evolution, with persistent pain and walking impairment, the patient returned to the ER articulqcion 6 weeks of the trauma suffered.
The injury severity was reported to the patient and a surgical reduction of the dislocation was scheduled for two days later. Chopart dislocations lisrfanc associated injuries, open reduction and lisfraanc fixation represents the best option and allow reparation of damaged capsulo-ligamentous structures.
Both joints together with the subtalar joint are involved fundamentally in the inversion and eversion movements 5,6. Hermel Mb, Gershon-Cohen J. CT offers additional information when associated lesions or to plan future treatments and is not hesitating to apply if diagnosis is unclear.
She immediately felt local pain and swelling.
Articulation de Chopart
Tibiotalar joint mobility was preserved, and no painful. Several series of cases of midtarsal choart are reported in the literature; however the data available on inveterate injuries is still scarce and its management it is not well defined. Secondly, several key points for a proper diagnosis are given with the aim of reducing cases of misdiagnosis.
Nineteen-year-old woman who came to our ambulatory trauma arrticulacion with the diagnosis of a sprained right ankle for evolutionary control. Kirschner wires in appropriate cases are left equally implanted during this period.
Copy of Biomecánica del pie by luis eduardo jimenez ruiz on Prezi
The first aim is to present the case and its treatment. The talus-medial cuneiform-first metatarsal axis should be lined up on both a lateral and anteroposterior radiograph. Besides describing the treatment of this particular injury, this study is aimed at increasing the level of clinical suspicion in order to avoid misdiagnosis such as occurred in our case. In most of the cases are due to axial chopatt or torsional forces acting on the foot in plantar flexion.
According to Klaue 10 we thought the double approach is the best way to treat these injuries by ensuring accessibility to both joints. Injuries of the midtarsal joint. Under fluoroscopic control it was performed percutaneous osteosynthesis with Kirschner wires through both joints. A midtarsal joint dislocation in a year-old-woman is described, in which diagnosis was articulavion at 8 weeks of evolution. Complejo Hospitalario de Navarra.
Avulsion fracture of the lisdranc talonavicular ligament: There are not great differences in prognostic terms comparing pure dislocations and fracture-dislocations. Computed tomography CT was requested.