Fractures and Dislocations of the Foot
Multidisciplinary Approach to Trauma, NOVA Publications , ss.201-210, 2022
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2022
- Yayınevi: NOVA Publications
- Sayfa Sayıları: ss.201-210
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
In this section, the diagnosis and treatment of talus, mid- and forefoot injuries will be explained. Although talus fractures constitute fewer than 1% of all fractures, it is the most frequently fractured tarsal bone after the calcaneus among all tarsal bones. It should be kept in mind that 90% of subtalar dislocations have accompanying tarsal injuries. As with all dislocations, immediate reduction should be achieved in subtalar dislocations. The midfoot includes the navicular, cuboid and three cuneiforms. These bones play the role of a solid link between the fore and hind foot, therefore the Chopart and Lisfranc joints are of great functional importance. The bony structure of the midfoot and the ligamentous connections at the metatarsal base play a major role in stability. Therefore, concomitant Lisfranc injury should be excluded in metatarsal injuries. Phalanx fractures are the most common injury of the forefoot. As with all foot injuries, the diagnosis is made by standard radiographs (anteroposterior, oblique, lateral, canale radiographies) and computed tomography (CT). The fracture pattern, fragmentation, angulation and accompanying additional tarsal injuries are determined with the help of radiographs and CT. Treatment is also planned according to the radiological results. The dynamic structure of the foot during gait phases should not be forgotten while planning the treatment. The aim of early or late treatment after trauma is to preserve the range of motion of the joint, ensure the continuity of stability and offer a limb suitable for the gait phases.