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Case Reports in Orthopedics
Volume 2017 (2017), Article ID 8090721, 6 pages
https://doi.org/10.1155/2017/8090721
Case Report

Lateral Subtalar Dislocation with Tarsometatarsal Dislocation: A Case Report of a Rare Injury

Division of Orthopaedic Surgery, Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12206, USA

Correspondence should be addressed to Samik Banerjee; moc.liamg@20bhsab

Received 1 April 2017; Accepted 8 June 2017; Published 6 July 2017

Academic Editor: Kaan Erler

Copyright © 2017 Samik Banerjee et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Dislocation of the fourth and fifth tarsometatarsal joints in conjunction with lateral subtalar dislocation is a rare occurrence. Little is known about the mechanism of injury, the appropriate treatment for this condition, and its ultimate prognosis. In this report, we describe this atypical presentation in a middle aged, otherwise healthy male who sustained a trivial twisting injury to the ankle when he slipped and fell on ice. Open reduction and K-wire fixation were necessary to affix the lateral tarsometatarsal and talonavicular joints. At one year postoperatively, he was able to return to his preinjury occupation with mild to moderate pain with prolonged walking. His Foot and Ankle Disability Index and American Orthopaedic Foot and Ankle Society scores were 64 and 65 points, respectively. Surgical intervention resulted in a stable plantigrade foot; however, the patient had early radiographic evidence of posttraumatic arthritis in the midfoot joints at one-year follow-up.