J Korean Fract Soc.  1996 Apr;9(2):349-353.

Unusual Isolated lateroplantar Dislocation of the First Tarsometatarsal Joint: A case Report

• Lee JH
• Lee JH
• Kim HJ
• Song KJ
• Hwang BY

Abstract

Dislocation and fracture-dislocation fo the Tarsometatarsal joint were rare injuries, but an increase of motor vehicle accidents, industrial and athletic injuries seems to be responsible for an incresing incidence of these injuries. Because of the basic inherent stabilith of the bony architecture and the structures on the sole of the foot including the plantar fascia, the intrinsic foot muscles, peroneus, tibialis posterior tendon and the stronger plantar pligaments most dislocations occur in dorsal and lateral direction. We report a case of 32 year-old male patient who had an isolated fracture and disloction of the first Tarsometatarsal joint with laterai and plantarward displacement. This developed by in-car accident and which did not fit to any proposed classification systems. The diagnosis was delayed because of the combined injuries, but with open reduction and internal fixation with 2 smooth K-wires, satisfactory results could at 12 moonths follow-up study.

Keyword

Tarsometatarsal Joint; Isolated lateroplantar fracture-dislocation

MeSH Terms

Accidents, Occupational
Athletic Injuries
Classification
Diagnosis
Dislocations*
Fascia
Follow-Up Studies
Foot
Humans
Incidence
Joints*
Male
Motor Vehicles
Muscles
Tendons