Combined Midfoot Dislocation Involving the Naviculocuneiform and Calcaneocuboid Joints: A Case Report

Document Type : Original Article

Author

Department of Orthopedic Surgery, Al Noor Specialist Hospital, Makkah, Saudi Arabia

Abstract

Background: Midfoot injuries such as dislocation of the naviculocuneiform and calcaneocuboid joints are very rare. They mostly result from high energy crushing trauma, which leads to dislocation of the midfoot in a plantar direction.
Objective: To study the outcome of open reduction and internal fixation with K-wires in  naviculocuneiform and calcaneocuboid joint dislocations. 
Patients and methods: Our case report of a 27 years old male who sustained an isolated left foot injury after a road traffic accident, radiographs showed a dislocation of the naviculocuneiform joint and fracture-dislocation of the calcaneocuboid joint. This uncommon injury pattern required open reduction and internal fixation with K-wires.
Results: K-wires were removed after 12 weeks. At the 12 months follow up, he achieved a complete range of motion of the left foot and ankle with good functional outcomes and with no complications. The goal in such dislocations is to achieve a stable congruent joint with gradual rehabilitation to reach a good functional outcome.
Conclusion: Closed dislocations involving the naviculocuneiform and calcaneocuboid joints are very rare, and they occur following a high energy trauma in the majority of cases. The goal of treatment in such injuries is to achieve a stable congruent joint with gradual rehabilitation to maximize the functional outcomes.
 

Keywords

The Egyptian Journal of Hospital Medicine
Volume 83, Issue 1
April 2021
Pages 1017-1020

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