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Published on: January 24, 2018
Closed total talar extrusion after ankle sprain.
Yalcin Turhan1, Hakan Cift, Korhan Ozkan
1Department of Orthopaedics and Traumatology, Goztepe Research and Training Hospital, Istanbul, Turkey.
Foot & Ankle Specialist
|December 3, 2011
Summary
A rare total talus dislocation injury occurred after ankle distortion. Open reduction was necessary due to talar body extrusion, potentially requiring tibialis posterior tendon manipulation.
Area of Science:
- Orthopedic surgery
- Traumatology
- Anatomy
Background:
- Total talus dislocation is an extremely rare injury involving all ankle joints.
- It results from severe ankle trauma, often leading to significant deformity and pain.
Observation:
- A 25-year-old male presented with severe ankle distortion after a fall.
- Radiographs confirmed a total talar body extrusion, indicating dislocation of the tibiotalar, subtalar, and talonavicular joints.
Findings:
- Urgent open reduction was performed to address the total talus dislocation.
- The tibialis posterior tendon may impede closed reduction, necessitating its retraction during open procedures.
Implications:
- This case highlights the rarity and complexity of total talus dislocations.
- Effective management requires prompt surgical intervention, potentially including tendon manipulation for successful reduction.
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