Dislocation of the foot - symptoms, treatment
During the study, the frequency of dislocations wasit was found that the dislocation of the foot in its pure form is rare and amounts to approximately 1 in 14-15 of the total number of all dislocations. Most often it is combined with other leg injuries, there may be an additional fracture or dislocation of the ankle, treatment then becomes much more complicated.
There is a subtalar dislocation of the foot, as well as a dislocation in thetransverse joint, dislocation of fingers. Also often there is a dislocation of the talus and scaphoid bones, and other bones dislocate very rarely. Complete dislocations are quite rare, mainly there are various subluxations in the foot joint.
How to treat a dislocation of the foot.
All dislocations are characterized by anamnesis inpodvorachivanii foot, the main type of treatment is a complete and prolonged fixation after under the influence of anesthesia the dislocation obtained will be eliminated. After the end of the course of treatment, the patient will continue to be troubled for a long time with pain, which can be accompanied by swelling and even lameness. All experts recommend that people who have suffered a dislocation of the foot, for some time to use the orthopedic insert-arch supports.
Subtalar dislocation of the foot occurs rarely. With this type of injury, the talus bone itself is not displaced, but the heel bone is displaced, as well as the scaphoid or cuboid bones of the tarsus. Such dislocations occur as a result of a fall from the height when the support on the tucked-in foot occurs. Most often they are internal and internal, often accompanied by a fracture of the head of the talus, as well as the scaphoid bone.
Symptoms of this trauma are a posterior edemadepartment of foot and the rapid occurrence of hematoma. If an internal dislocation occurs, the foot is slightly pushed inward. Any movement after receiving such an injury is very painful and very limited, almost completely absent the supporting function of the affected foot. In the case when such dislocation is still combined with the displacement of the foot, a significant increase in the heel is visually evident. To establish the final diagnosis, it is necessary to perform X-ray diffraction in two projections.
Treatment of this type of dislocation is quite labor-intensiveand requires immediate adjustment, which is carried out under anesthesia. The speed of elimination of the dislocation is necessary, as a hemorrhage occurs, and the resulting swelling will make it difficult to direct. After eliminating the problem, a plaster cast from the toes of the foot is applied and the knee joint is fixed, which is bent at an angle of 150 °. After this, a control X-ray study is performed. After 3-4 weeks, the fixation is removed and the use of physical therapy and massage is absolutely essential for the full restoration of the working capacity of the damaged limb. Also, the insertion of the arch supports is recommended for up to 6 months. Workability will begin to recover not earlier than in 2 months.
Dislocation of the tarsal transverse jointis caused by a direct mechanical injury. Such a trauma often occurs in motorcyclists, who are forcibly bending the forefoot. This dislocation of the foot is often accompanied by a fracture of the scaphoid or cuboid bones.
Symptoms of this type of injury are tensionskin along the entire back surface of the foot, its deformation, as well as swelling and severe pain. When probing, the displacement of the scaphoid bone is clearly visible. For correct diagnosis, it is also necessary to carry out an X-ray in two projections.
The earlier to eliminate such a dislocation, the better. If there are no contraindications, then the operation is performed under general anesthesia. If an anesthesia is contraindicated, then this procedure is carried out using an intraosseous anesthetic.
After elimination of the dislocation, the foot is fixed, and the plaster is removed after 1.5-2 months. Physiotherapeutic treatment is used to restore working capacity.</ p>>