Closed Total Talar Dislocation with Associated Tarsal Fractures: Case Report and a Review of the Literature

Andrew Chou,Mohan Tiruchittampalam

doi:10.15344/2456-4443/2018/137

Andrew Chou, Mohan Tiruchittampalam

Open Access

https://doi.org/10.15344/2456-4443/2018/137

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Abstract

Closed total talar dislocations are rare injuries that result in a dislocation of the talus from its surrounding articulations and typically occur in the context of a high energy trauma. Only a handful of cases exist in the literature discussing the diagnosis and management of closed total talar dislocations. We report the case of 36-year-old woman diagnosed with a closed total talar dislocation associated with multiple tarsal fractures. In view of neurovascular compromise, she successfully underwent urgent closed reduction under sedation in the emergency room and was admitted for further investigations. Here, we discuss her case, review the existing literature, and discuss the recommended management.

Highlights

Introduction & BackgroundAs over five million ankle injuries occur annually in the United States alone, foot and ankle injuries account for up to 30% of emergency room visits and up to 12% of traumatic injuries [1,2,3]
We report the case of 36-year-old female who sustained a close total talar dislocation with associated tarsal fractures, review the existing literature, and discuss the recommended management
In view of the poorly felt dorsalis pedis pulse and the complex foot dislocation seen on radiographs, the patient was promptly referred to the orthopaedic specialist on-call for review

Summary

Introduction

Introduction & BackgroundAs over five million ankle injuries occur annually in the United States alone, foot and ankle injuries account for up to 30% of emergency room visits and up to 12% of traumatic injuries [1,2,3]. We report the case of 36-year-old female who sustained a close total talar dislocation with associated tarsal fractures, review the existing literature, and discuss the recommended management. An avulsed fracture fragment can be seen between the talus and calcaneum in the dorsal-plantar view of the foot.

Results

Conclusion