Citation

Leroy GM, Celestin D, Ange NYM, De Dieu TBJ, Dubois-Ferrière V, et al. (2018) Isolated Traumatic Close Dislocation of Tarsal Navicular Bone after a Complex Forced Movement of the Foot: A Case Report. Trauma Cases Rev 4:063. doi.org/10.23937/2469-5777/1510063

Copyright

© 2018 Leroy GM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/2469-5777/1510063

Isolated Traumatic Close Dislocation of Tarsal Navicular Bone after a Complex Forced Movement of the Foot: A Case Report

Guifo Marc Leroy1*, Danwang Celestin1, Ngo Yamben Marie Ange1, Tekpa Bertrand Jean De Dieu2, Dubois-Ferrière Victor3 and Ibrahima Farikou1

1Department of Surgery and Specialties, University of Yaoundé I, Cameroon

2Department of Orthopaedic-traumatology, University of Bangui, Central African Republic

3Division of Orthopaedic Surgery and Musculoskeletal Traumatology, University of Geneva, Switzerland

Abstract

Introduction

Tarsal navicular bone dislocation is a rare condition which can lead to long term disability, mainly due to difficulties to obtain an anatomical reduction. Only few cases have been reported.

Case presentation

We report a case of a 21-year-old Cameroonian male who was admitted to the emergency department after a road traffic accident. The physical examination reveals a patient unable to bear weight, with a painful swelling of the antero-medial dorsal region of the right foot, without neurovascular deficits or another lesion. The plain X-ray and the CT scan of the right foot and ankle reveal a medial dislocation of the talonavicular joint without associated fracture. An open reduction was done and two Kirschner wires of 2 mm were place to maintain the reduction. The patient was discharge after five days with an ankle/foot X-ray showing successful reduction of the talonavicular joint. He was reviewed at one and twelve weeks later with no complain and a normal X-ray.

Conclusions

Tarsal navicular bone dislocation is a rare condition which can lead to long term disability. Even in resources constraint settings, a CT-scan should be done when available, in addition to radiography to rule out an associated lesion which can be missed by the X-ray, and to plan the surgical approach.