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

Arch Orthop Trauma Surg. 2010 Sep;130(9):1129-32. doi: 10.1007/s00402-009-1003-9. Epub 2009 Nov 17.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Traffic
  • Adult
  • Ankle Injuries / diagnostic imaging*
  • Ankle Injuries / surgery
  • Follow-Up Studies
  • Fracture Fixation, Internal / methods
  • Humans
  • Imaging, Three-Dimensional*
  • Intra-Articular Fractures / diagnostic imaging
  • Intra-Articular Fractures / surgery
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / surgery*
  • Male
  • Motorcycles
  • Risk Assessment
  • Talus / diagnostic imaging
  • Talus / injuries*
  • Tarsal Bones / diagnostic imaging
  • Tarsal Bones / injuries*
  • Tarsal Joints / injuries
  • Tarsal Joints / surgery
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome