Related Experiment Videos
Medial peritalar dislocation
Ozcan Pehlivan1, Ibrahim Akmaz, Can Solakoglu
1Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey. ozipeh@e-kolay.net
Archives of Orthopaedic and Trauma Surgery
|December 17, 2002
Summary
This case report details a rare medial subtalar dislocation with talar head fracture. Open reduction was necessary due to the talar head buttonholing through the extensor retinaculum.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Anatomy
Background:
- Subtalar joint dislocations are rare foot and ankle injuries.
- Talar head fractures can complicate dislocations, posing reduction challenges.
Observation:
- A 22-year-old male sustained a closed medial subtalar dislocation and talar head fracture while walking downhill.
- Initial closed reduction under general anesthesia failed.
Findings:
- Surgical exploration revealed the talar head buttonholed through the extensor retinaculum, obstructing closed reduction.
- Open reduction and internal fixation were successfully performed.
Implications:
- This case highlights the importance of recognizing entrapment as a cause of irreducible dislocations.
- Prompt surgical intervention is crucial for favorable outcomes in complex subtalar joint injuries.