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Anales del Sistema Sanitario de Navarra
Print version ISSN 1137-6627
Abstract
SANCHO GONZALEZ, I. and MENENDEZ GARCIA, M.. Missed Chopart dislocation: the importance of being aware of midtarsal injuries. Anales Sis San Navarra [online]. 2016, vol.39, n.1, pp.153-158. ISSN 1137-6627.
Chopart (midtarsal) joint dislocations are relatively rare but potentially serious injuries. Their low prevalence and the possible absence of evident radiological findings cannot justify misdiagnosis because an adequate and correct treatment is required to achieve a proper clinical outcome. A midtarsal joint dislocation in a 19-year-old-woman is described, in which diagnosis was performed at 8 weeks of evolution. An open reduction was performed by a double approach (medial and lateral) and a Kirschner wire joint stabilization. At one-year of follow-up, loss of reduction was not observed and the patient was pain-free, although she referred to functional limitation when running. 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.
Keywords : Fracture; Dislocation; Midtarsal; Delayed diagnosis; Open reduction.