CLOSED TALAR DISLOCATION – A CASE REPORT

  • Igor Dolenc Travmatološki oddelek Splošna bolnišnica dr. Franca Derganca Ul. padlih borcev 13 5290 Šempeter pri Gorici
Keywords: talus, complete dislocation, avascular bone necrosis, revascularisation, bone scan

Abstract

Background. A case report of closed complete talar

dislocation and its treatment is presented. At the operative reduction

of the talus some connective tissue was observed bridging

the talar caput with the surrounding structures. Talar bone

scan at that time revealed irregular accumulation of the

isotope. Six months post injury x-ray of the previously injuried

talus showed normal spongious bone structure, and repeated

bone scan revealed normal vascularisation.


Conclusions. The injuried lower extremity was immobilized

for five and a half months and weight-bearing was restricted

for nine and a half months altogether. Five years later the patient

is asymptomatic. The range of motion of the previously

injuried ankle is normal. X-ray control reveals initial signs of

osteoarthritis at the talocalcanear joints.

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References

1. Huang PJ, Fu YC, Tien YC, Lin GT et al. Open total talar dislocation-report of
two cases. Kaohsiung J Med Sci 2000; 16: 214–8.

2. Tile M. Fractures of the talus. In: Schatzker J, Tile M. The rationale of
operative fracture care. 2nd ed. Berlin, Heidelberg, New York: Springer
Verlag 1996: 573–5.

3. Papaioannou NA, Kokoroghiannis CG, Karachalios GG. Traumatic extrusion
of the talus (missing talus). Foot Ankle Int 1998; 19: 590–3.

4. Heckman JD. Fractures and dislocations of the foot. In: Rockwood CA,
Green DP, Buchholz RW, Heckman JD eds. Rockwood and Green’s Fractures
in adults. 4th ed. Vol. 2. Philadelphia: Lippincott-Raven Publishers 1996:
2322–5.

5. Meinhard BP, Girgis I, Moriarty RV. Irreducible talar dislocation with entrapment
by the tibialis posterior and the flexor digitorum longus tendons: A
case report. Clin Orthop 1993; 286: 222–4.

6. Detenbeck LC, Kelly PJ. Total dislocation of the talus. J Bone Joint Surg 1969;
51A: 283–8.

7. Palomo-Traver JM, Cruz-Renovell E, Granell-Beltran V, Monzonis-Garcia J.
Open total talus dislocation: case report and review of the literature. J
Orthop Trauma 1997; 11: 45–9.
Published
2017-04-21
How to Cite
1.
Dolenc I. CLOSED TALAR DISLOCATION – A CASE REPORT. TEST ZdravVestn [Internet]. 21Apr.2017 [cited 5Aug.2024];70(11). Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/2593
Section
Professional Article