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Selected Fractures of the Foot

机译:Selected Fractures of the Foot

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Fractures of the foot are relatively common, and many of them have the potential for long-term disability because of the weight-bearing and ambulatory function ofthe foot. Anatomically, the foot is divided into three major parts: the hindfoot, which contains the talus and calcaneus; the midfoot, consisting of the navicular, cuboid, and three cuneiforms; and the forefoot, comprised of the metatarsals and phalanges. Chopart's joint separates the mid and hindfoot, and Lisfranc's joint separates the mid and forefoot.Radiographic evaluation of the traumatized foot consists of a minimum of three views: lateral, anteroposterior, and internal oblique. Other views may be utilized for specific problems. At the very least, the radiographs should be optimized for the major zone of injury (i.e., forefoot versus hindfoot). Computed tomography is useful in demonstrating the complex anatomy of the traumatized foot, particularly the mid and hindfoot. Radionuclide imaging or MR may be helpful in some specific instances.This article will review selected important and interesting fractures of the foot. Specijically, we will review talar neck fractures, osteochondral fractures of the talar dome, navicular fractures, Lisfranc fracture dislocations, and stress fractures. Fractures of the calcaneus will not be discussed because they would encompass an entire treatise in themselves.

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