Psychogenic Equinovarus Caused by Dislocation of the Chopart Joint Complex
Patients with conversion disorder (CD) present with weakness or unexplained movement disorder that may evolve from inciting psychological events, but presentation with rigid deformity is rare. Only one case of CD presenting as foot deformity with atraumatic rigid psychogenic equinovarus has been rep...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/2736917 |
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| author | Ichiro Tonogai Koichi Sairyo |
| author_facet | Ichiro Tonogai Koichi Sairyo |
| author_sort | Ichiro Tonogai |
| collection | DOAJ |
| description | Patients with conversion disorder (CD) present with weakness or unexplained movement disorder that may evolve from inciting psychological events, but presentation with rigid deformity is rare. Only one case of CD presenting as foot deformity with atraumatic rigid psychogenic equinovarus has been reported previously. Here we describe a rare case of psychogenic equinovarus in a physically healthy 10-year-old boy. He had noticed left equinovarus deformity upon waking abruptly but had no history of preceding trauma and no relevant medical history. Computed tomography (CT) images revealed dislocation of the left Chopart joint complex, but clinical examination did not suggest an organic neurologic disorder. On further history taking, he reported that he was under psychological stress because of being required to play baseball against his will. When he was given permission to withdraw from this stressful situation, the equinovarus improved without the need for surgical invention. This report highlights the importance of early and accurate diagnosis of psychogenic equinovarus, so that unnecessary surgery can be avoided. This is the first report of psychogenic equinovarus caused by dislocation of the Chopart joint complex that was confirmed with CT. |
| format | Article |
| id | doaj-art-0b4929f84f104716981e202bccb606b0 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-0b4929f84f104716981e202bccb606b02025-02-03T01:11:02ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/27369172736917Psychogenic Equinovarus Caused by Dislocation of the Chopart Joint ComplexIchiro Tonogai0Koichi Sairyo1Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanPatients with conversion disorder (CD) present with weakness or unexplained movement disorder that may evolve from inciting psychological events, but presentation with rigid deformity is rare. Only one case of CD presenting as foot deformity with atraumatic rigid psychogenic equinovarus has been reported previously. Here we describe a rare case of psychogenic equinovarus in a physically healthy 10-year-old boy. He had noticed left equinovarus deformity upon waking abruptly but had no history of preceding trauma and no relevant medical history. Computed tomography (CT) images revealed dislocation of the left Chopart joint complex, but clinical examination did not suggest an organic neurologic disorder. On further history taking, he reported that he was under psychological stress because of being required to play baseball against his will. When he was given permission to withdraw from this stressful situation, the equinovarus improved without the need for surgical invention. This report highlights the importance of early and accurate diagnosis of psychogenic equinovarus, so that unnecessary surgery can be avoided. This is the first report of psychogenic equinovarus caused by dislocation of the Chopart joint complex that was confirmed with CT.http://dx.doi.org/10.1155/2018/2736917 |
| spellingShingle | Ichiro Tonogai Koichi Sairyo Psychogenic Equinovarus Caused by Dislocation of the Chopart Joint Complex Case Reports in Orthopedics |
| title | Psychogenic Equinovarus Caused by Dislocation of the Chopart Joint Complex |
| title_full | Psychogenic Equinovarus Caused by Dislocation of the Chopart Joint Complex |
| title_fullStr | Psychogenic Equinovarus Caused by Dislocation of the Chopart Joint Complex |
| title_full_unstemmed | Psychogenic Equinovarus Caused by Dislocation of the Chopart Joint Complex |
| title_short | Psychogenic Equinovarus Caused by Dislocation of the Chopart Joint Complex |
| title_sort | psychogenic equinovarus caused by dislocation of the chopart joint complex |
| url | http://dx.doi.org/10.1155/2018/2736917 |
| work_keys_str_mv | AT ichirotonogai psychogenicequinovaruscausedbydislocationofthechopartjointcomplex AT koichisairyo psychogenicequinovaruscausedbydislocationofthechopartjointcomplex |