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Updated: Aug 22, 2025

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
Fracture neck of the talus with isolated talonavicular dislocation: A case report
Amr Selim1,2, Ali Zain Naqvi3, Henry Magill4
1Cairo University Hospitals, Cairo, Egypt.
Introduction:
Talar neck fractures are injuries which frequently result in adverse outcomes or impairment of functional activity. Four groups were identified according to Hawkins classification and Canale modification. We present a female patient with a fractured neck of the talus associated with talonavicular dislocation, but intact tibiotalar and subtalar joints; an injury pattern not fulfilling the criteria described in the Hawkins classification.
Patient Concerns:
A 46-year-old woman missed a step and fell down stairs with an immediate painful right ankle and inability to bear weight.
Diagnosis:
Talar neck fracture with an unusual isolated talonavicular dislocation.
Interventions:
Temporary closed reduction followed by open reduction and internal fixation were performed.
Outcomes:
The patient had excellent functional and radiological outcomes following surgical management.
Conclusion:
We discuss the management of this rare case in addition to a review of the current literature to provide the best evidence-based recommendations for this injury pattern.
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