Dislocation of foot
Dislocations of the foot up to 2% of all dislocations. To include the dislocation of the foot sprains in the ankle joint, subtalar dislocation of the foot, dislocation of the talus, tarsal bones dislocation (dislocation of the joint Shoppara), dislocation of the metatarsal bones (dislocated the joint Lisfranc) dislocation of the phalanges.
Dislocation of the foot in the ankle joint
Dislocation of the foot in the ankle joint is not common and is usually accompanied by a rupture of the ankle ligaments and joint capsule, and fractures of the ankle, sometimes the other articular fractures. The foot may be dislocated outwards, inwards, forwards, backwards and upwards.
Dislocation of the foot outward of the foot occurs when podvertyvanii sideways and outwards. Thus there is a turning point and the outer ankle. At the foot medially podvertyvanii, there is a fracture dislocation of the ankle and the inside of the foot medially. Posterior dislocation of the foot can occur with a strong impact on the legs, or with a sharp and strong plantar flexion of the foot and the front dislocation occurs when flexion of the foot toward the rear and hit the rear leg. Occasionally a dislocation of the foot up, after falling from a height. The patient is worried about the pain in his foot, inability to stand on the foot and walk. The shape of the foot is changed.
Refine the diagnosis of X-ray examination. As first aid is necessary to give the victim pain and bring him to the hospital.
Treatment of dislocation of the foot in the ankle joint. Reduction of the ankle should be carried out as quickly as possible, since these depend on further results of treatment. Reduction of dislocation of the wiring is carried out under anesthesia or general anesthesia with special techniques. After a successful reposition superimposed on the leg cast from the toes to the upper thigh. The term of up to 8 weeks of immobilization, but the knee cast removed after 3 weeks and begin the development of joints.
Subtalar dislocation of the foot
Subtalar dislocation of the foot is rare. This dislocation occurs in the talocalcaneal and talus-navicular joints. The mechanism of dislocation sharp tucking foot in any direction. Astragalus is shifted from its place, and on the opposite side of the shift of the cleavage of bonds. The patient complains of pain in his foot. The shape of the foot is changed. In order to exclude fractures of the foot produces X-rays.
Treatment of subtalar dislocation of the foot. Spend anesthesia with anesthesia or conduction anesthesia. Reduce a joint. After reduction imposes a circular plaster cast from the toes to the upper thigh. Particular attention is paid to the proper formation of the arch. After removing the plaster after 5-6 weeks of prescribed exercise therapy. During the year the patient is recommended to wear orthopedic shoes.
Dislocation of the tarsal bones
Dislocation of the tarsal bones or dislocated joints in the Chopart is extremely rare. There is a dislocation with a sharp turn of foot. The patient is worried about the pain in his foot, which sharply increases with movements of the foot. Edema, which is rapidly increasing. At the foot below the dislocation disrupted blood supply. The victim should be given pain medication and quickly taken to hospital for immediate reposition of dislocation.
Treatment of dislocation of the tarsal bones. Produced by reduction of dislocation conduction anesthesia or general anesthesia. Then, on the leg cast is applied from the toes to the middle third of the femur for up to 8 weeks, followed by the release of the knee after 3 weeks. Assigned to physiotherapy and physiotherapy. During the year, the patient must wear orthopedic shoes or insoles. Dislocation of the metatarsal bones.
Dislocation of the metatarsal bonesDislocation of the metatarsal bones or dislocated joints in the Lisfranc also occurs rarely. He is the complete and incomplete. A full dislocation move all of the metatarsals, the partial dislocation bias arises from its normal position of individual bones of the metatarsus. The patient develops pain in his foot. The shape of the foot is changed. The foot appears shortened and expanded in the anterior region. If you dislocate a bone of the metatarsus on the surface of the foot, defined as a protrusion of the steps. Refine the diagnosis of X-ray examination.
Treatment. Spend anesthesia. A doctor with the help of an assistant reduce a dislocation. Then, from the toes to the knee impose a circular plaster cast with carefully simulated arches. The term of up to 8 weeks of immobilization. Then prescribe physical therapy, physical therapy and wearing arch support for one year. Sometimes if you can not straighten a dislocated performed surgery.
Dislocation of finger joints between the bones of the metatarsus and the phalanges of the fingers or a major in the joints between the phalanges of the fingers do not occur often. Injury usually occurs as a result of a direct blow on the fingers or metatarsal. The patient complains of pain in the finger. Change in the form of damaged finger. He looks shorter. Probed the exposed end of the shifted joint surface. Clarify the diagnosis, after X-rays.
Treatment of dislocation of fingers. Analgesia produced by wiring or local anesthesia. Reduce a Finger. Then a plaster splint for 2 weeks. Occasionally, to prevent the recurrence of dislocation of the joint is fixed needle for 7-10 days. Then assigned to exercise therapy and physiotherapy.
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