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We present a case of a unique midfoot injury pattern including dislocations of the calcaneocuboid and naviculocuneiform joints with associated calcaneus and navicular fractures after low-energy injury. This combination of injuries is rare, especially with a low-energy mechanism. There are no current treatment guidelines.

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Foot tuberculosis is rarely reported in the literature, with most tuberculosis of the foot being an uncommon manifestation of skeletal tuberculosis. Early diagnosis and timely medical and surgical intervention can significantly reduce morbidity. A 23-year-old male presented with persistent swelling and pain in his right foot for six months, accompanied by a discharging sinus over the affected area in the last week, making weight-bearing increasingly difficult.

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Background: Fixation of the Evans osteotomy for flatfoot correction has been advocated without supporting data to facilitate union and avoid calcaneocuboid subluxation. We examined these issues in the largest reported series of Evans procedures to date.

Methods: A total of 118 cases from a consecutive series of 137 patients who underwent Evans osteotomy without fixation by a single surgeon were available for review.

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Article Synopsis
  • The talonavicular joint (TNJ) dislocation happens when two bones, the talus and navicular, lose their connection completely, mostly due to injuries.
  • Medial dislocations are more common, while lateral dislocations often come with fractures in another joint called the calcaneocuboid.
  • A case study talks about a six-month-old TNJ dislocation that needed surgery to fix it, and afterward, the patient had no more pain.
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A Rare Case of a Medial Peritalar Dislocation on a Rock Climber.

J Orthop Case Rep

September 2024

Department of Orthopaedics, HFR Fribourg, Villars-sur-Glâne, Switzerland.

Article Synopsis
  • Peritalar dislocations are rare foot injuries that involve dislocations of specific foot joints, primarily occurring in sports, with no previous reports found in rock climbers.
  • A case study describes a 38-year-old climber who sustained a medial peritalar dislocation from a climbing accident, which was successfully treated with non-operative methods after a closed reduction in the emergency room.
  • Timely closed reduction is crucial to prevent complications, and thorough radiological evaluations are essential to check for other fractures and assess the injury’s impact on recovery and function.
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