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Dorsal Fracture-Dislocation of the Tarsal Navicular

Case Report and Review of a Rare Injury

Isidro Jimenez Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Insular de Gran Canaria, Las Palmas, Spain.

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Juan Pedro Rodriguez-Alvarez Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Insular de Gran Canaria, Las Palmas, Spain.

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Ricardo Navarro-Navarro Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Insular de Gran Canaria, Las Palmas, Spain.

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Fracture-dislocations of the tarsal navicular are rare and highly complex injuries to the midfoot. The only published data on this type of fracture are clinical case reports. These injuries are normally caused by high-energy trauma, and their pathophysiology and most appropriate treatment remain unclear. We report a clinical case of a dorsal fracture-dislocation of the tarsal navicular bone associated with a medial swivel dislocation of the Chopart joint caused by a bicycle fall in a 20-year-old healthy man. Open reduction and percutaneous pinning in a novel arrangement was performed, with an excellent outcome 18 months after the injury.

Corresponding author: Isidro Jimenez, MD, Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Insular de Gran Canaria, Av. Maritima del Sur s/n, Las Palmas de Gran Canaria, Las Palmas 35016, Spain. (E-mail: isidro_jimenez@hotmail.com)