Chopart dislocations: a review of diagnosis, treatment and outcomes

Mason, Lyndon ORCID: 0000-0002-0371-3183 (2023) Chopart dislocations: a review of diagnosis, treatment and outcomes. Archives of Orthopaedic and Trauma Surgery, 144 (1). pp. 131-147.

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Abstract

<h4>Introduction</h4>Chopart injuries can be allocated into 4 broad groups, ligamentous injury with or without dislocation and fracture with or without dislocation, which must occur at the talonavicular joint (TNJ) and/or calcaneocuboid joint (CCJ). Chopart dislocations are comprised of pure-dislocations and fracture-dislocations. We aim to review the literature, to enable evidence-based recommendations.<h4>Methods</h4>A literature search was conducted to identify relevant articles from the electronic databases, PubMed, Medline and Scopus. The PRISMA flow chart was used to scrutinise the search results. Articles were screened by title, abstract and full text to confirm relevance.<h4>Results</h4>We identified 58 papers for analysis, 36 case reports, 4 cohort studies, 4 case series and 14 other articles related to the epidemiology, diagnosis, treatment and outcomes of Chopart dislocations. Diagnostic recommendations included routine imaging to contain computed tomography (CT) and routine examination for compartment syndrome. Treatment recommendations included early anatomical reduction, with restoration and maintenance of column length and joint congruency. For both pure-dislocations and fracture-dislocations urgent open reduction and internal fixation (ORIF) provided the most favourable long-term outcomes.<h4>Conclusions</h4>Chopart dislocations are a complex heterogenous midfoot injury with historically poor outcomes. There is a relative paucity of research discussing these injuries. We have offered evidence-based recommendations related to the clinical and surgical management of these rare pathologies.

Item Type:	Article
Uncontrolled Keywords:	Chopart dislocation, Chopart pure-dislocation, Chopart fracture-dislocation, Chopart joint, Midtarsal Joint, Chopart injury, Trauma
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences > School of Medicine
Depositing User:	Symplectic Admin
Date Deposited:	18 Sep 2023 08:25
Last Modified:	10 Jan 2024 20:23
DOI:	10.1007/s00402-023-05040-4
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3172795