Closed talar body fracture with talonavicular dislocation; a case report.
Closed fracture dislocation of the body of the talus is rare. The dislocation of the subtalar and ankle joints (associated with fracture body) has been reported and already described in the current classifications. We report a case of closed fracture of the body of the talus associated with talonavicular dislocation. Open reduction and internal fixation was performed after failed attempt of closed reduction. The fracture has healed and there is no evidence of avascular necrosis after 2 years follow up. We recommend early evaluation of this injury by CT scan or by proper radiographic views under sedation and urgent open reduction if one attempt at closed reduction has failed.
Orthopaedic Department, St. James University Hospital, Leeds, UK. MHafez@msn.com
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MA
Hafez
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Bawarish
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Guvvala
D000328:Adult; D005593:Fracture Fixation, Internal; D005596:Fractures, Closed / Q000150:complications* / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000150:complications*; D008297:Male; D013628:Talus / Q000293:injuries* / Q000503:physiopathology; D013640:Tarsal Joints / Q000293:injuries*; D014102:Torsion Abnormality