Diagnostic imaging and unforeseen associated lesions in astragalo-scaphoid dislocation: a case report.

Arch Orthop Trauma Surg

Orthopaedics and Traumatology Department, Mellino Mellini Hospital Trust, Civil Hospital of Iseo, Via Cipro 30, Brescia, Italy.

Published: September 2010

A case of an isolated astragalo-scaphoid dislocation following a fall from a motorbike is reported. Due to the diagnostic obscurity of the full extent of the injury, computed tomography (CT) with 3D reconstruction was utilized to precisely visualize the articular condition and revealed the presence of small intra-articular bone fragments and calcaneo-cuboid subluxation. Furthermore, the detailed imaging offered valuable information for preoperative planning. Patient has healed without sequelae. In light of the good outcome in this case, we suggest utilizing CT with 3D reconstruction when there is a risk to overlook foot dislocation and potential associated lesions.

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http://dx.doi.org/10.1007/s00402-009-1003-9DOI Listing

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