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Talar fracture/dislocation in the adolescent patient
B C Valentine1, S F Buoye, J J Naples
1Residency program, Doctor's Hospital, New Boston, Texas, USA.
Summary
This case report details a rare talar fracture-dislocation with lateral displacement. The injury resulted in avascular necrosis, highlighting the complexity of talar trauma.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Radiology
Background:
- Talar fractures and dislocations are severe ankle injuries.
- Lateral dislocation of the talar body is exceptionally rare.
Observation:
- An 18-year-old patient experienced a two-part right ankle injury resulting in talar fracture-dislocation.
- The talar body dislocated laterally, distal to the fibular malleolus.
Findings:
- Initial closed reduction was unsuccessful.
- Open reduction and internal fixation were performed.
- Nine months postoperatively, a negative Hawkins sign indicated avascular necrosis.
Implications:
- This case represents a unique talar injury pattern not previously documented in literature.
- Such injuries pose significant challenges in diagnosis and management.
- Avascular necrosis is a serious complication requiring careful monitoring.