This investigation examined 50 legs from 25 Japanese cadavers. For severe persistent symptoms from medial and longitudinal force injuries triple arthrodesis is recommended, and from lateral force injuries, calcaneo-cuboid arthrodesis. However, … Surgical treatment does not appear to be necessary. The long plantar ligament contributes to the plantar … If unrecognized, these nontarget injections can result in treatment failure in a subset of patients who undergo cervical interlaminar epidural steroid injection. The lateral calcaneal artery could supply a local microvascular flap to cover soft tissue defects of the heel. Within a few minutes she was seen by an orthopedic surgeon, Dr. D. T. Jones, who noted marked swelling over the dorsum of the tarsus and marked t... weeks) and functional therapy (special shoe). Bethesda, MD 20894, Copyright Conclusions: For the LPL, the hourglass shape is the most common type. Cases were reported by Benassi (1) in 1940, and by Bianchi (2) in 1931. The calcaneocuboid ligament sprain is confused with Peronius longus tendonitis. Weitere Vorteile sind die fehlende Invasivität und Strahlenbelastung. By clearly defining the normal ligaments that contribute to the stability of the calcaneocuboid joint, MRI allows a more precise and correct diagnosis of the etiology of the calcaneocuboid instability, perhaps permitting a more specific surgical management. Sämtliche bisher ungeklärten, langfristigen Gang- und Standbeschwerden nach unerheblichen Supinationsverletzungen werden durch sofortige Röntgenaufnahmen des unteren Sprunggelenkes vermieden und entschlüsselt. The most commonly injured ligaments are the dorsal calcaneocuboid, bifurcate, and dorsal talonavicular ligaments and the spring ligament complex, with plantar ligament injuries thought to be significantly less frequent [1][2][3][4]. This retrospective study included 218 consecutive patients with CLAI who underwent surgery from January 2012 to December 2015. Introduction: If this is not completely possible due to operative requirements, then at least a large part of the incision should follow these lines. Talonavicular joint injuries were evident on 38% of radiographs and 76% of MR images (p = 0.008). Traumatic midtarsal injuries, particularly midtarsal sprain, are often overlooked clinically and on imaging but are relatively common and typically are associated with inversion ankle injuries. In all 10 cadaveric specimens, we were able to identify the various ligamentous elements, their different configurations, imaging characteristics, and contributions to the overall stability of the transverse tarsal joint complex. Postoperatively, most patients recovered very well. Indeed, these injuries are a cause of symptoms after an inversion injury of the foot, and the resulting clinical manifestations may mimic a lateral ankle ligament injury, which is more common [1]. Foot maladies are often classified descriptively by general foot locations, i.e., forefoot, midfoot, and rearfoot. 12.1). In children with chronic pain and instability associated with an os subfibulare, surgical excision of the os subfibulare combined with reconstruction of the anterior talofibular ligament and a modified Broström procedure was effective in restoring ankle stability, eliminating pain, and permitting return to the preinjury functional level. The avulsion injury may involve an os subfibulare, causing ligamentous laxity and chronic pain resulting from nonunion. Step 4 preparation for ligament repair: Privacy, Help Foot and ankle injuries (FAI) are very common, with about 6000 cases per day in France. Results: Methods: Magnetic resonance imaging of 70 patients with acute moderate or advanced ankle sprains presenting consecutively between November 2014 and December 2019 were reviewed for analysis of bone bruising associated with ankle sprains. No variables predictive of inadvertent injection into the Okada space were identified. Das zentrale Kapitel 5 behandelt in systematischer Weise die Frakturen und posttraumatischen Fehlstellungen der 28 Knochen des Fußes vom Talus bis zu den Sesambeinen. Imbricate the lateral capsule to secondarily reconstruct and reinforce the ligaments, adding to the strength of the repair. Step 7 casting: The medial and lateral intraosseous arterial supply for the calcaneus is equal. Isolated injuries involving the calcaneocuboid joint are rare and frequently overlooked. The presence of contrast material in the retrodural space of Okada was identified in 2.9% of cases (28/974). This prospective study aims to detail the epidemiology of MJS and compare it to LAS. The incidence of midtarsal sprains—the most common Chopart joint injury—varies, ranging up to one-third of patients … The purpose of this study was to evaluate the intraoperative findings and long-term outcomes of patients treated operatively for symptomatic avulsion injuries or a symptomatic os subfibulare. Consequently up to 40 O/o of these patients are reported to complain persisting problems (pain and/or instability). All of the CEP abnormalities correlated with the Miyazaki grade with statistical significance (p < 0.001). Radiographs underestimate severity of injury; MR images show more subtle abnormalities. and the plantar calcaneocuboid ligament. The soft tissues that contribute to the joint’s stability include ligamentous structures—long and short plantar ligaments, dorsal and plantar calcaneocuboid ligaments, the bifurcate ligament, interosseous ligaments, intertarsal, and tarsometatarsal ligaments—joint capsule, and lateral tendinous support from the peroneus longus tendon and its articulation … Thirteen cases out of five-hundred-twenty-one sprain injuries of the ankle are described, classified and the therapy discussed: If on varus stress radiographs, there is a calcaneocuboid angle <10 degrees without a bony flake (type 1) strapping for six weeks is indicated. Surgical options, though uncommon, vary from arthrodesis of the calcaneocuboid joint in instances of instability to more recently used anatomic repair techniques [4,7. For all cases, the following information was recorded: presence or absence of contrast material within the Okada space, cervical anatomic level at which the procedure was performed, laterality of approach, trainee presence, and years of proceduralist experience. Conclusion: Inversion injuries of the foot occur mainly sport induced. We describe the techniques of percutaneous shaving of the plantar bone prominence and ulcer endoscopy to manage abnormal pressure points under the sole of the foot. Step 3 ankle examination: While ankle sprains are common injuries that typically improve with conservative treatment, some patients may have residual disability after a sprain as a result of a number of potential etiologies. The objective of this article is to review the differential diagnosis of lateral plantar pain, emphasizing on the common mechanisms of injury, and to identify characteristic imaging findings for these pathologic conditions. It is important for the clinician to be aware of common conditions presenting as pain to the lateral side of the foot. There was a 0.4% (4/974) complication rate, and all complications were minor. Twenty-three patients presented with chronic ankle pain and instability, tenderness anterior and distal to the lateral malleolus, and imaging studies (magnetic resonance imaging and/or stress radiographs) suspicious for avulsion injury of the anterior talofibular ligament and/or calcaneofibular ligament. Of the patients with concurrent LB injury, 82.1% (92/112) returned for final evaluation. Results Objective: Von proximal nach distal werden peritalare Luxationen und Instabilitäten, ligamentäre Verletzungen und Instabilitäten der Chopart- und Lisfranc-Gelenke, metatarsophalangeale und interphalangeale Luxationen sowie die Möglichkeit der Rekonstruktion bei chronischen Instabilitäten abgehandelt. Level of evidence The possibility of an injured dorsal calcaneocuboid ligament (DCC) should be considered in all acutely swollen feet after trauma involving supination. All rights reserved. Ultrasound Imaging Guide for Assessment of the Intrinsic Ligaments Stabilizing the Subtalar and Midtarsal Joints. Conclusion: bei der Löwenjagd eine Verrenkung des Fußes (Abb. After an unsuccessful course of conservative therapy, the lesion was treated with curettage and application juvenile particulate cartilage allograft. Treatment consisted of closed reduction and percutaneous pinning (CRPP) using Kirschner wire fixation. Cuboid syndrome or cuboid subluxation describes a condition that results from subtle injury to the calcaneocuboid joint and ligaments in the vicinity of the cuboid bone, one of seven tarsal bones of the human foot. eCollection 2014 Sep. Sun Y, Wang H, Tang Y, Qin S, Zhao M, Zhang F. Medicine (Baltimore). The necessity of radiographs with varus stress and in certain cases of computer tomography (CT) and magnetic resonance imaging (MRI), beside the routine antero-posterior and lateral views, is emphasized. In the patient study, for evaluation of CEP abnormalities, intersequence agreements were substantial to almost perfect, intraobserver agreements were substantial to almost perfect, and interobserver agreements were moderate to substantial (p < 0.001). The plantar calcaneonavicular ligament (also known as the spring ligament or spring ligament complex) is a complex of three ligaments on the underside of the foot that connect the calcaneus with the navicular bone. Deswegen muß bei jeder Supinationsverletzung das untere Sprunggelenk sofort mitgeröntgt werden. Twenty-one patients with injury at the anterior calcaneal process on radiographs or MR images were retrospectively assessed for concomitant injury at the talonavicular joint. ... Midtarsal sprains may affect the supporting ligaments along the talocalcaneonavicular and calcaneocuboid joints. Patients and surgeons as well tend to neglect these "minor injuries" The term "ankle sprain" indicates an injury mechanism and is not a clear cut diagnosis, leading to a sufficient treatment. The most commonly injured ligaments are the dorsal calcaneocuboid, bifurcate, and dorsal talonavicular ligaments and the spring ligament complex, with plantar ligament injuries … Retrospective study, observational study. Type 2 fractures (25 fractures, 13%) are isolated extra-articular injuries involving the body of the cuboid. Lack of mention of Chopart joint injury clinically and on imaging reports underlies the need for greater familiarity with this entity. Regarding the morphological characteristics, there were no significant differences among the types in the LPL, but there were differences between types and between surface and deep fiber bundles in the SPL. 1. Cite this article: Bone Joint J 2016;98-B:1003–8. A 19-year-old woman sustained a plantar flexion-inversion injury to her right ankle after a low-speed motor vehicle collision. Injury to the calcaneocuboid joint may co-occur during an ankle ligament sprain, which may be a cause of persistent pain surpassing typical sprain symptoms 31). ... Vergleich anatomisch rekonstruierter chronischer Instabilitäten des calcaneocuboidalen und des lateralen oberen Sprunggelenkes -Eine Studie anhand von jeweils 5 Patientinnen, ... 14). Two-tailed chi-square tests were used to assess categoric variables, and t tests were performed to assess for continuous variables predictive of nontarget injection. The plastinated sections were obtained from the same specimen that had been scanned previously. A calcaneocuboid angle >10 degrees with a big flake (type 3) should be treated by open reduction and refixation of the ligament. This study aimed to report our institution's experience in the diagnosis and treatment of chronic lateral ankle instability (CLAI) with ligamentum bifurcatum (LB) injury. The goal of this chapter is to further the understanding of pathomechanisms, performing diagnostics and reconstructing of injured feet, and to demonstrate ways to treat malunions and nonunions. A nonparametric statistic was used. Aims Although infrequent, a fracture of the cuboid can lead to significant disruption of the integrity of the midfoot and its function. Operative Indications and Treatment for Chronic Symptomatic Os Subfibulare in Children. Then, fiber bundle length, fiber bundle width, and fiber bundle thickness were measured. Step 8 postoperative protocol: Es steht damit ein unmittelbar einsetzbares diagnostisches Instrument zur Beurteilung der Gelenkstabilität zur Verfügung. Seventy-two cadaver hindfoot specimens were examined. The inferior component had superior and inferior sides that were 12.9 ± 2.9 mm and 13.8 ± 3.0 mm, respectively. Sprunggelenk und Fuß stellen eine morphologische und kinetische Einheit dar. For the LPL, the hourglass shape is the most common type. Clinical Relevance: Knowledge of the morphologic variations and dimensions of the DCC can be of aid when planning for surgical management of the ruptured ligament. Unable to load your collection due to an error, Unable to load your delegates due to an error. To read the full-text of this research, you can request a copy directly from the authors. Consequently, about 500 calcaneocuboid ligament lesions, 1/3 of them leading to chronic instabilities can be calculated to occur in Germany each day. For the SPL, there were types of single, double and triple fiber bundles; there may be functional differences based on the number of fiber bundles and between superficial and deep fibers. Of the 235 lesions identified, 31 were grade 3 or above. Conclusion A classification system for fractures of the cuboid is proposed in relation to the mechanism of injury. Patients and method: The plantar calcaneocuboid ligament (short calcaneocuboid ligament; short plantar ligament) is a ligament on the bottom of the foot that connects the calcaneus to the cuboid bone. JBJS Essent Surg Tech. The mean values and standard deviation for all the structures were 0.36 ± 1.85 mm. Die Komplexbewegung des Fußes ist von Fick im Jahre 1911 sinnbildlich als »Maulschellenbewegung« bezeichnet worden, deren Einzelkomponenten nicht streng voneinander zu trennen sind. Complex injuries (type 4) are characterised by cuboid compression fracture and ligament rupture. The mean age of the patients was 10.4 years (range, eight to thirteen years) at the time of injury and 13.6 years (range, eight to seventeen years) at the time of surgery, representing a mean delay in diagnosis and treatment of 3.2 years. All cases of inadvertent injection were identified and corrected intraprocedurally. The CEP abnormalities on the 3D UTE images correlated with the Miyazaki grading of the T2-weighted SE images. Objectives However, common vernacular verbiage, implicating a common biomechanical purpose, also applies pathology to the medial or lateral foot column. 2, 9, 15, 16 In one case series, 15 17 of 20 patients with fractures … This study was conducted to analyze extraosseous and intraosseous vascularization of the os calcaneum and to elucidate possible clinical manifestations. Osteochondral lesions were present in 86% of specimens with the majority in the talocrural joint. Case: 2018 Jan 19;89(1-S):138-150. doi: 10.23750/abm.v89i1-S.7017. 3. Examine the ankle for loose bodies or other associated damage. The selective rupture of the calcaneocuboid ligament is extremely rare and frequently misdiagnosed. Diagnosis and treatment of chronic lateral ankle instability with ligamentum bifurcatum injury: An observational study, Imaging of Chopart (Midtarsal) Joint Complex: Normal Anatomy and Posttraumatic Findings, Resection of Small Avulsion Fractures of the Anterior Process of the Calcaneus for Refractory Complaints. Schließlich wird auch auf Stressfrakturen und Überlastungsschäden eingegangen, welche an keinem anderen Skelettabschnitt so häufig auftreten, wie am Fuß. Previous articles have … The goal of the current study was to investigate the pattern of skin cleavage lines of cadaveric feet and to establish the optimal incision type for surgical approaches to the foot. National Library of Medicine Leur présentation clinique et leurs mécanismes lésionnels diffèrent de ceux des entorses de cheville. Conclusion: It is striking that even with the sparse but growing body of case reports regarding cuboid dislocation, consensus is yet to be reached on how best to operatively repair such an injury. 8600 Rockville Pike The extent of soft tissue trauma in hindfoot injury (calcaneus fracture, talus fracture) is currently being underestimated. Einen ersten anschaulichen Bericht einer schweren Bandverletzung überlieferte uns Herodot (490-430 v. In the volunteer study, the CEP was well visualized on 3D UTE images but not on T2-weighted SE images (p < 0.001). J Bone Joint Surg Am. Besides radiographs, CT scans are the main imaging tools used in diagnosing injuries to the Chopart joint and recognizing associated bony injuries; whereas, MRI may play a certain role in detecting isolated ligament injuries. The plantar calcaneonavicular ligament, also known as the spring ligament, runs from the anterior aspect of the sustentaculum tali to the plantar surface of the navicular bone. 2010 Jul;17(4):291-8. doi: 10.1007/s10140-009-0855-1. 14 chronische, isolierte calcaneocuboidale Instabilitäten bei 12 Patienten (Tab. The study was conducted within our institution over a period of 16 months. A total of 974 CT fluoroscopy-guided cervical interlaminar epidural steroid injections were identified in 728 patients. Intrasubject side‐to‐side variability must be minimal. In addition, we believe care must be taken to avoid use of autografts like hamstring or plantaris tendon. Sixty percent of calcaneocuboid fractures were prospectively missed on radiography (none on MRI), whereas 38% and 25% of talonavicular findings were missed on radiography and MRI, respectively. 7 The cuboid is a rigid and static stabilizer of the lateral column in the foot and is the only bone to articulate with both the midtarsal and tarsometatarsal joints. For the solitary structures, the superior and inferior borders measured 18.6 ± 2.8 mm and 17.3 ± 2.5 mm, respectively. Calcaneocuboid avulsion fractures were evident on 48% of radiographs and 100% of MR images (p = 0.001). Jedoch zeigen Originaltext und Verlauf, daß es sich am ehesten um eine Luxato pedis cum talo gehandelt haben muß: Zusammenfassung Diese Arbeit soll demonstrieren, da bei chronisch instabilem Sprunggelenk die Einheit beider Gelenke beachtet werden mu, und zwar sowohl anatomisch als auch biomechanisch und neuromuskulr. Les patients présentant des signes cliniques prédictifs d’EC sans lésion osseuse radiographique bénéficiaient d’une échographie. It is also questionable whether anatomic variances are contributory. Step 2 ossicle excision: We performed a retrospective case study of the first twenty-three patients treated with our procedure for symptomatic os subfibulare.IndicationsContraindicationsPitfalls & Challenges. Images from cases of cervical interlaminar epidural steroid injection under CT fluoroscopic guidance performed at a single institution between November 2009 and November 2015 were obtained and reviewed. Background and aim of the work: Patients wear a cast and remain non-weight-bearing for six weeks postoperatively. Results The calcaneus, the more lower bone of the body, has the task of supporting the axial load from the weight of the body. Die Komplexbewegung des Fußes ist von Frick im Jahre 1911 sinnbildlich als „Maulschellenbewegung“ bezeichnet worden, der en Einzelkomponenten nicht streng voneinander zu trennen sind. Radiographic and MRI rates of detection of injuries across the Chopart joint were statistically different. Conclusion: Midtarsal dislocations are uncommon injuries given the support conferred to the talonavicular and calcaneocuboid joints by the robust periarticular ligaments. This person is not on ResearchGate, or hasn't claimed this research yet. The avulsed fragments of the anterior process at the calcaneocuboid joint were surgically excised in all, which resolved the complaints completely in 4 patients and reduced the complaints significantly in 2. A calcaneocuboid angle >10 degrees with a big flake (type 3) should be treated by open reduction and refixation of the ligament. Structure. In general, however, midtarsal sprains are not recognized as commonly associated with ankle sprains [7. These facts underline the need for establishing validated diagnostic tools in order to differentiate specific lesions following acute inversion injuries or chronic instabilities of the foot and ankle rather than misname them "ankle sprain" Findings from different diagnostic levels (history, clinical findings, imaging) allow for exact diagnosis resulting in an adequate treatment. The objective of this paper is to discuss the less common findings in radiological imaging of the bones' and ligaments' lesions in Chopart joint as well as a complex analysis of talonavicular coalition. In the 2 component ligaments, the superior component had a superior and inferior length that averaged 16.9 ± 2.1 mm and 16.4 ± 2.8 mm, respectively. 2018 Mar;97(9):e0028. Objective: A PubMed search was performed for the terms Imaging calcaneus fracture, selecting articles in English language, published in the last two years, where preoperatively diagnostic imaging of fractures of the calcaneus are described. Clinicians should closely examine the LB in cases of CLAI, and should surgically repair or reconstruct the LB when necessary. Fractures were grouped according to commonly occurring patterns of injury. Results Type 1 fractures (93 fractures, 48.4%) are simple avulsion injuries involving the capsule of the calcaneo-cuboid joint. A calcaneocuboid angle >10 degrees with or without a small bony flake of the ligament insertion (type 2) should … The articular involvement has been associated with a poor functional outcome. The objective of this article is to review the normal anatomy and posttraumatic findings of the Chopart joint complex. The injury can be safely verified by standardised holden radiographs, with the other side involved for comparison. Current technical advances in magnetic resonance and improved knowledge of regional anatomy enable thorough evaluation of the complex anatomic structures of the foot and facilitate accurate diagnosis in the setting of trauma. The mechanism of injury leading to calcaneocuboid joint osteochondral lesions is not clearly understood. Ligaments were graded as i) normal, ii) partial tear, or iii) complete tear. ... Our findings, however, underscore the need for heightened awareness of the imaging features of Chopart joint injury and for familiarity with the highly common concomitant injuries at both the calcaneocuboid and talonavicular joints. Eight months postoperatively, the patient was ambulating in supportive shoe gear without pain. Sports Med. Pain will be felt on the outside middle of the foot and there may be The range of osseous injuries includes contusions, avulsions, or impaction fractures of the anterior process of the calcaneus, talar head, cuboid bone, and navicular bone. It lies deep to the long plantar ligament. In moderate or advanced cases of ankle sprain, external solid fixation of both the ankle and midfoot should be performed. Cuboid fracture-dislocations are exceedingly rare, and subsequently, there is a paucity of treatment recommendations in the literature. These include the dorsal and plantar ligaments as well as the peroneus longus tendon and plantar fascia. Functional instability does not exhibit any physical laxity of the joints because it may be caused by specific insufficiencies in proprioception, neuromuscular control, postural control, or muscle strength, which were mainly treated by physiotherapeutic rehabilitation if there were any neuromuscular disorders previously. We believe anatomic studies can be used to clarify the association between traumatic injuries and their sequelae. Introduction: Sports injuries were more frequent in MJS (P=0.04), and mechanisms more varied than in LAS, with inversion injury in 75% of cases and plantar hyperflexion in 22%. Eighty-two cases of MJS were diagnosed (3.4% of FAIs). 4. Furthermore, patients with injuries involving the calcaneocuboid joint require different treatment approaches than those with the more frequently occurring lateral ankle ligament injury . The presentations and clinical and surgical management of this rare condition are discussed. Regarding the plantar calcaneocuboid ligaments, they were best visualized in the coronal and sagittal planes. McNemar and kappa statistics were calculated; p values < 0.05 were considered statistically significant. Morphological characteristics of the plantar calcaneocuboid ligaments. This study tries to clarify the mechanism, classification and treatment of this entity. The mechanism whereby longitudinal compression causes fractures of the body of the navicular is described, and two varieties having different prognoses are defined: one due to purely longitudinal compression and the other due to longitudinal compression with a medial component. https://orcid.org. To assess intra‐ and interreader agreements, 30 (100%) examinations were repeated. RTP time was 39 days (range 9–70 days) for isolated midtarsal sprain. Case Reports Case 1: A 45-year-old woman caught the tip of her left shoe on the edge of the curb while stepping up from the street. In sonography of clinically relevant small structures of the ankle and foot, the healthy contralateral side can be used as a reference to identify subtle abnormalities. However, the outcome was not ideal in those who underwent excision of the anterior process of the calcaneus; there were significant postoperative decreases in talar tilt (P < .05) and anterior drawer (P < .05), but there was no significant postoperative improvement in visual analog scale pain score and AOFAS score. The aim of this study was to assess the reliability of side‐to‐side sonographic evaluation of small structures of the ankle and foot. The lateral talocalcaneal and dorsolateral calcaneocuboid ligaments had varying positional attachments. Signs & Symptoms Of Midtarsal Joint Sprain Caused By Injury To Calcaneocuboid Ligament: Pain is present externally to midfoot. The clinical results were evaluated according to a questionnaire, X-ray and clinical controls. The most commonly injured ligaments are the dorsal calcaneocuboid, bifurcate, and dorsal talonavicular ligaments and the spring ligament complex, with plantar ligament injuries … Clinical-radiological follow-up examinations of 49 operatively and 44 conservative treated patients were carried out 2 to 4 years after cessation of therapy. Perform an approach to the lateral malleolus and excise the fragment while preserving the anterior talofibular ligament and calcaneofibular ligament. Methods Bone bruises were also evident in the tibia (44.3%), the calcaneus (21.4%), and the tarsal bone (25.7%). Fr die einzelnen dekompensierten Instabilitten haben sich bei uns einige Behandlungsmethoden bewhrt. If conservative measures fail and the complaints are refractory, debridement of the anterior process avulsion fractures at the calcaneocuboid joint could be a viable option. These articulations give the cuboid profound stability , which is reinforced by multiple ligamentous, tendinous, and soft tissue attachments. Standardized MR imaging projections of the hindfoot were illustrated by anatomic analysis of specimen sections using the same sectional plane as in MR imaging. Three-dimensional UTE MRI feasibly depicts the CEP and CEP abnormalities, which may be associated with the severity of disk degeneration on T2-weighted SE MRI. RTP time was significantly higher for athletes with combined ankle and midtarsal sprain (47 days, range 15–74 days) when compared to athletes with isolated ankle sprain (24 days, range 2–59 days) (p = .019). 29,53 Although there is a small body of research discussing the clinical implications of lateral column instability, ... Isolated injuries involving the calcaneocuboid joint are rare and frequently overlooked. A calcaneocuboid angle >10 degrees with or without a small bony flake of the ligament insertion (type 2) should primarily be treated with a shoe cast for 6 weeks; if there are persistent symptoms a secondary peroneus brevis tendon graft is recommended. When lateral bruising is found mainly over the mid-foot and tracking towards the toes then, invariably, the calcaneocuboid ligament has been damaged. This study aimed to identify the prevalence of ligament and joint surface anatomy variants, ligament tears, and osteochondral lesions (OCLs) in the hindfoot. 2014 Sep 24;4(3):e18. Midtarsal joint complex trauma can be subdivided into low-energy midtarsal sprains and the relatively rare high-energy Chopart joint fracture-dislocation. At a mean follow-up of 4.5 years (range, 2.1 to 13.2 years), the mean Foot and Ankle Outcome Score was 91.4 (range, 87 to 98) out of 100, with all but one patient returning to the preinjury recreational level. Das 3. Conclusion: Die Bewegungswalze des traumatischen Supinationsvorganges verletzt in einer charakteristischen Supinations-Frakturlinie die Knochen und Gelenke in der Chopart-Gelenklinie. Midtarsal sprains may affect the supporting ligaments along the talocalcaneonavicular and calcaneocuboid joints.

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