RESUMO
We report an unusual case of a variant of Lisfranc injury, plantar dislocation of the medial cuneiform with plantar fracture-dislocation of the intermediate cuneiform and dorsal fracture-dislocation of the lateral cuneiform, which has never been reported, to our knowledge. The entire pathologic abnormality was treated by open reduction and fixation with Kirschner wires, which were removed 8 weeks postoperatively because of pin-tract infection. Complex regional pain syndrome, which was a problem early in the recovery process, is now in remission, and at the 25-month follow-up examination, the patient was almost symptom free.
Assuntos
Traumatismos do Tornozelo/cirurgia , Síndromes da Dor Regional Complexa/etiologia , Fraturas Ósseas/cirurgia , Luxações Articulares/cirurgia , Ossos do Tarso/lesões , Adulto , Traumatismos do Tornozelo/diagnóstico por imagem , Articulação do Tornozelo/fisiopatologia , Fios Ortopédicos , Fraturas Ósseas/diagnóstico por imagem , Humanos , Masculino , Amplitude de Movimento Articular , Tomografia Computadorizada por Raios XRESUMO
Among the traumatic patellar dislocations, superior dislocation of patella without patellar ligament injury is very rare. We present in this article, a case of superior dislocation of the patella trapped by interlocked osteophytes in a 38-year-old female who had concurrent bilateral knee arthrosis. Successful reduction was achieved by closed manipulation without anesthesia. Neither redislocation nor symptoms of instability was seen after 36 months of follow-up, although some progression of arthritis was observed. A new classification including all traumatic patellar dislocation was also proposed.
