A Fixed, Unreducible, Unstable Medial Swivel Dislocation of the Talonavicular Joint with Associated Navicular Fracture
A 32-year-old white male was on a second-story balcony when he fell off and landed on the cement below. With initial X-rays being read as negative on the radiology report due to the subtle nature of the injury, the patient was promptly diagnosed with a medial swivel dislocation by the orthopaedic te...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/9959830 |
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| author | James T. Layson Alan Afsari Todd Peterson David Knesek Benjamin Best |
| author_facet | James T. Layson Alan Afsari Todd Peterson David Knesek Benjamin Best |
| author_sort | James T. Layson |
| collection | DOAJ |
| description | A 32-year-old white male was on a second-story balcony when he fell off and landed on the cement below. With initial X-rays being read as negative on the radiology report due to the subtle nature of the injury, the patient was promptly diagnosed with a medial swivel dislocation by the orthopaedic team, which ended up being fixed, unstable, and irreducible. The patient also had acute skin compromise and needed to be taken to the operating room prior to progression of skin breakdown. This dislocation pattern is a rare variant, especially when paired with the fixed nature of the dislocation and the soft tissue compromise. In the end, open treatment was necessary in order to reduce the talonavicular joint. Because of early recognition and prompt treatment, skin breakdown was avoided. Internal screw fixation of the fractured navicular bone was needed along with K-wire insertion to hold the normal anatomy of the talonavicular joint reduced. All hardware was ultimately removed after healing, and anatomy was restored with excellent patient function. This case report highlights the orthopaedic knowledge needed to not only recognize this rare fracture-dislocation pattern but to also treat it promptly when encountered. |
| format | Article |
| id | doaj-art-0e0f6fd2ef41401bb51e86f132acaee9 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-0e0f6fd2ef41401bb51e86f132acaee92025-08-20T03:54:28ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/99598309959830A Fixed, Unreducible, Unstable Medial Swivel Dislocation of the Talonavicular Joint with Associated Navicular FractureJames T. Layson0Alan Afsari1Todd Peterson2David Knesek3Benjamin Best4Ascension Macomb-Oakland, 11800 Twelve Mile Rd, Warren, MI 48093, USAAscension St. John Hospital, 22101 Moross Road, Suite #214 Detroit, MI 48236, USACapital Orthopaedics and Sports Medicine, 12499 University Ave., Suite #210 Clive, IA 50325, USAMotor City Orthopedics and Ascension Providence Hospital, 26850 Providence Parkway, #260 Novi, MI 48374, USAAscension Macomb-Oakland and Ascension St. John Hospital, 22101 Moross Road, Suite #214 Detroit, MI 48236, USAA 32-year-old white male was on a second-story balcony when he fell off and landed on the cement below. With initial X-rays being read as negative on the radiology report due to the subtle nature of the injury, the patient was promptly diagnosed with a medial swivel dislocation by the orthopaedic team, which ended up being fixed, unstable, and irreducible. The patient also had acute skin compromise and needed to be taken to the operating room prior to progression of skin breakdown. This dislocation pattern is a rare variant, especially when paired with the fixed nature of the dislocation and the soft tissue compromise. In the end, open treatment was necessary in order to reduce the talonavicular joint. Because of early recognition and prompt treatment, skin breakdown was avoided. Internal screw fixation of the fractured navicular bone was needed along with K-wire insertion to hold the normal anatomy of the talonavicular joint reduced. All hardware was ultimately removed after healing, and anatomy was restored with excellent patient function. This case report highlights the orthopaedic knowledge needed to not only recognize this rare fracture-dislocation pattern but to also treat it promptly when encountered.http://dx.doi.org/10.1155/2021/9959830 |
| spellingShingle | James T. Layson Alan Afsari Todd Peterson David Knesek Benjamin Best A Fixed, Unreducible, Unstable Medial Swivel Dislocation of the Talonavicular Joint with Associated Navicular Fracture Case Reports in Orthopedics |
| title | A Fixed, Unreducible, Unstable Medial Swivel Dislocation of the Talonavicular Joint with Associated Navicular Fracture |
| title_full | A Fixed, Unreducible, Unstable Medial Swivel Dislocation of the Talonavicular Joint with Associated Navicular Fracture |
| title_fullStr | A Fixed, Unreducible, Unstable Medial Swivel Dislocation of the Talonavicular Joint with Associated Navicular Fracture |
| title_full_unstemmed | A Fixed, Unreducible, Unstable Medial Swivel Dislocation of the Talonavicular Joint with Associated Navicular Fracture |
| title_short | A Fixed, Unreducible, Unstable Medial Swivel Dislocation of the Talonavicular Joint with Associated Navicular Fracture |
| title_sort | fixed unreducible unstable medial swivel dislocation of the talonavicular joint with associated navicular fracture |
| url | http://dx.doi.org/10.1155/2021/9959830 |
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