Document Detail

Plantar dislocation of lateral tarsometatarsal joint: a case of subtle Lisfranc injury.
MedLine Citation:
PMID:  15175781     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: We present a rare case of plantar dislocation of the cuboid, fourth and fifth metatarsal joints. Fracture-dislocation in the midfoot region may be subtle and difficult to recognise at the emergency department. CLINICAL PICTURE: A 16-year-old girl presented with lateral foot pain and swelling following a fall from a height of 3 m. Initial radiograph revealed a third metatarsal shaft fracture; however, additional views reviewed a plantar direction of fourth and fifth metatarsal dislocation from the cuboid. TREATMENT: Open reduction and internal fixation with Kirschner wires followed by immobilisation in plaster was performed. OUTCOME: She made an uneventful recovery and the wires had since been removed. CONCLUSION: This case was unusual in that there was lateral tarsometatarsal disruption with neither diastasis between the first and second metatarsals nor injury to either the first or second tarsometatarsal joints. The plantar direction of dislocation was also unusual as these injuries are usually dorsal.
Y H Teo; W Verhoeven
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  33     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-06-03     Completed Date:  2004-09-17     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  362-4     Citation Subset:  IM    
Department of Orthopaedic Surgery, Changi General Hospital, Singapore.
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MeSH Terms
Dislocations / complications,  radiography*,  surgery
Fracture Fixation, Internal
Fractures, Bone / complications,  radiography*,  surgery
Metatarsophalangeal Joint / injuries*,  radiography,  surgery
Metatarsus / injuries*,  radiography,  surgery
Tarsal Joints / injuries*,  radiography,  surgery

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