Midtarsal Joint Sprain

What is the midtarsal joint?

The midtarsal joint is also known as Chopart’s joint and consists of the talonavicular joint (between the talus and navicular bones) and calcaneocuboid joint (between the calcaeus or heel bone and the cuboid bone).

Injury to the midtarsal joint is rare but is more likely seen in gymnasts, footballers and sports involving jumping.
Symptoms of calcaneocuboid injury include

• Pain in the outside middle of the foot which may come on after an ankle sprain or similar injury.
• Pain and swelling on the outside top of the joint.
• Placing the foot into inversion may cause pain.
• An MRI scan may be done to confirm the diagnosis.
• An X-ray can be done to rule out a fracture.

Treatment of calcaneocuboid injury

• Taping the foot might help support the joint.
• Doctor may prescribe NSAID‘s (such as ibuprofen) to reduce pain and inflammation.
• Orthotic inserts may be fitted.
• A cotricosteroid injection may be done if symptoms persist.

Symptoms of bifurcate ligament injuries include

Treatment

• Treatment is similar to that of the calcaneocuboid injury with immobilization for 4 weeks.
• Surgery may be considered.

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