title: Hawkins' type-II talar fracture with subtalar dislocation: A very unusual combination.
abstract: We report the unusual case of a 16-year-old young man who sustained a rare association of a Hawkins' type-II talar neck fracture with a complete medial subtalar dislocation (Hawkins type-IIB) that occurred as an isolated injury after indirect trauma during a soccer game. Following closed reduction of the subtalar dislocation, standard radiographs and computed tomography (CT) demonstrated a comminuted fracture of the talus involving the base of the talar neck. Open reduction was performed and the fracture was stabilized by ORIF. At 1-year follow-up, functional and radiographic outcomes were graded as excellent, with no radiographic evidence of talar osteonecrosis.
authors.affiliation: Department of orthopaedic and trauma surgery, Polyclinique Keraudren, rue Ernestine-de-Trémaudan, 29200 Brest, France. Electronic address: dr.romaingerard@gmail.com.
authors.forename: R
authors.initials: R
authors.lastname: Gérard
authors.affiliation: Department of trauma and reconstructive surgery, Brest University Hospital Center, La Cavale Blanche, boulevard Tanguy-Prigent, 29200 Brest, France.
authors.forename: N
authors.initials: N
authors.lastname: Kerfant
authors.affiliation: Department of orthopaedic and trauma surgery, Polyclinique Keraudren, rue Ernestine-de-Trémaudan, 29200 Brest, France.
authors.forename: G
authors.initials: G
authors.lastname: Dubois de Mont Marin
authors.affiliation: Foot and Ankle Center, Clinique La Colline, avenue de Beau-Séjour 6, 1206 Geneva, Switzerland.
authors.forename: R
authors.initials: R
authors.lastname: Stern
authors.affiliation: Foot and Ankle Center, Clinique La Colline, avenue de Beau-Séjour 6, 1206 Geneva, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Assal
mesh_terms: D000293:Adolescent; D050723:Fractures, Bone / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D018460:Fractures, Comminuted / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D000070799:Open Fracture Reduction; D012916:Soccer / Q000293:injuries; D013380:Subtalar Joint; D013628:Talus / Q000293:injuries*; D014057:Tomography, X-Ray Computed
keywords: Ankle; Fracture; Hawkins type-IIB; Subtalar joint; Talus