Chopart's fracture–dislocation

Chopart's fracture–dislocation
SpecialtyOrthopedic

Chopart's fracture–dislocation is a type of broken and dislocated bone in the foot.[1] Specifically it is a dislocation of the mid-tarsal (talonavicular and calcaneocuboid) joints of the foot, often with associated fractures of the calcaneus, cuboid and navicular.[2]

It is named for a 1700s surgeon Francois Chopart.[3]

Signs and symptoms

  • The foot is usually dislocated medially (80%) and superiorly, which occurs when the foot is plantar flexed and inverted.
  • Lateral displacement occurs during eversion injuries.
  • Associated fractures of calcaneus, cuboid and navicular are frequent.
  • Open fractures occur in a small percentage.

Mechanism

Chopart's fracture–dislocation is usually caused by falls from height, traffic collisions and twisting injuries to the foot as seen in basketball players.

Diagnosis

Diagnosis is made on plain radiograph of the foot, although the extent of injury is often underestimated.[4]

Treatment

Treatment comprises early reduction of the dislocation, and frequently involves open reduction internal fixation to restore and stabilise the talonavicular joint. Open reduction and fusion of the calcaneocuboid joint is occasionally required.[5]

Prognosis

With prompt treatment, particularly open reduction, and early mobilisation the outcome is generally good.[6] High energy injuries and associated fractures worsen the outcome.[7]

See also

  • François Chopart

References

  1. ↑ Martel, José; Bueno, Angel (2008). "Fractures with names". In Pope, Thomas; Bloem, Hans L.; Beltran, Javier; Morrison, William B.; John, David (eds.). Musculoskeletal Imaging (2nd ed.). Philadelphia: Elsevier. p. 1232.e2. ISBN 978-1-4557-0813-0. Archived from the original on 2022-09-20. Retrieved 2022-09-11.
  2. ↑ Chopart's Fracture Dislocation Archived 2020-02-17 at the Wayback Machine at LearningRadiology.com
  3. ↑ Jones, Jeremy. "Chopart fracture-dislocation | Radiology Reference Article | Radiopaedia.org". Radiopaedia. Archived from the original on 22 August 2022. Retrieved 22 October 2022.
  4. ↑ Swords, MP; Schramski M; Switzer K; Nemec S (Dec 2008). "Chopart fractures and dislocations". Foot Ankle Clin. 13 (4): 679–93, viii. doi:10.1016/j.fcl.2008.08.004. PMID 19013402.
  5. ↑ Klaue, K (Sep 2004). "Chopart fractures". Injury. 35 Suppl 2 (2): SB64–70. doi:10.1016/j.injury.2004.07.013. PMID 15315880.
  6. ↑ Richter, M; Wippermann B; Krettek C; Schratt HE; Hufner T; Therman H (May 2001). "Fractures and fracture dislocations of the midfoot: occurrence, causes and long-term results". Foot Ankle Int. 22 (5): 392–8. doi:10.1177/107110070102200506. PMID 11428757.
  7. ↑ Kumagai, S; Fitzgibbons TC; McMullen ST; Heiser D (Apr 1996). "Chopart's fracture dislocation: a case report and review of the literature". Nebr Med J. 81 (4): 116–9. PMID 8628450.
This article is issued from Offline. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.