JAAOS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

J Am Acad Orthop Surg, Vol 11, No 4, July/August 2003, 260-267.
© 2003 the American Academy of Orthopaedic Surgeons
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Thompson, M. C.
Right arrow Articles by Mormino, M. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Thompson, M. C.
Right arrow Articles by Mormino, M. A.

Injury to the Tarsometatarsal Joint Complex

Michael C. Thompson, MD and Matthew A. Mormino, MD

Dr. Thompson is Chief Resident, Department of Orthopaedic Surgery and Rehabilitation, Creighton-Nebraska Health Foundation, University of Ne-braska Medical Center, Omaha, NE. Dr. Mormino is Assistant Professor and Director, Orthopaedic Trauma, Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center.

Reprint requests: Dr. Mormino, 981080 Nebraska Medical Center, Omaha, NE 68198-1080.

Tarsometatarsal joint complex fracture-dislocations may result from direct or indirect trauma. Direct injuries are usually the result of a crush and may involve associated compartment syndrome, significant soft-tissue injury, and open fracture-dislocation. Indirect injuries are often the result of an axial load to the plantarflexed foot. Midfoot pain after even a minor forefoot injury should raise suspicion; up to 20% of tarsometatarsal joint complex injuries are missed on initial examination. An anteroposterior radiograph with abduction stress may reveal subtle injury, but computed tomography is the preferred imaging modality. The goal of treatment is the restoration of a pain-free, functional foot. The preferred treatment is open reduction and internal fixation, using screw fixation for the medial three rays and Kirschner wires for the fourth and fifth tarsometatarsal joints. Satisfactory outcome can be expected in approximately 90% of patients.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2003 by the American Academy of Orthopaedic Surgeons.