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Hawkins' type-II talar fracture with subtalar dislocation: A very unusual combination
R Gérard1, N Kerfant2, G Dubois de Mont Marin1
1Department of orthopaedic and trauma surgery, Polyclinique Keraudren, rue Ernestine-de-Trémaudan, 29200 Brest, France.
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.
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