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Fracture neck of the talus with isolated talonavicular dislocation: A case report.


ABSTRACT:

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.

SUBMITTER: Selim A 

PROVIDER: S-EPMC9646572 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature

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Fracture neck of the talus with isolated talonavicular dislocation: A case report.

Selim Amr A   Naqvi Ali Zain AZ   Magill Henry H   Smith Jay J  

Medicine 20221101 44


<h4>Introduction</h4>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.<h4>Patient concerns</h4>A 46-year-old  ...[more]

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