Nonoperative treatment of closed total talus dislocation without fracture: A case report and literature review

Rhanim, A.; Zanati, Rachid El; Ouchrif, Younès; Hassani, Zouhir Ameziane; Kharmaz, Mohamed; Berrada, M.

doi:10.1016/j.jcot.2014.05.010

Cited by 9 publications

(11 citation statements)

References 13 publications

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“…Previous authors have suggested early total or partial talectomy 5 ; however, subsequent research has shown that such aggressive measures are unneeded. 1 - 3 , 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 The present study chronicles the authors' experience treating a checkrein deformity that resulted from a closed pantalar dislocation. To our knowledge, this study is the first to report such a deformity occurring after this injury.…”

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confidence: 80%

“…Defined as a pantalar dislocation, total talus dislocation, or enucleated talus, simultaneous dislocation of the talus about all three of its articulations is an extremely rare injury. Pantalar dislocations have been reported to occur in an estimated 2% to 10% of traumatic injuries of the talus 1 , 2 and account for 0.06% of all dislocations. 3 A pantalar dislocation without an open wound is a rare variant, reported to occur in only 15% 4 of cases.…”

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confidence: 99%

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Closed Pantalar Dislocation With Checkrein Deformity: A Unique Case Report and Literature Review

Speer¹,

Pike²

2021

JAAOS Glob Res Rev

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Closed pantalar dislocations are a rare variant of an uncommon injury. Pantalar dislocations are typically caused by high-energy trauma resulting in an open injury with associated fracture of the articulating bones. Given its obscurity, the literature on closed pantalar dislocations is scarce, and no standard treatment protocol has been accepted. This case report chronicles the treatment and outcome of a 29-year-old man who presented with a checkrein deformity of all digits after a closed pantalar dislocation with 6-month follow-up. A comprehensive literature review found 28 articles representing 39 patients with closed pantalar dislocations without talar neck or body fractures. Roughly equal numbers of closed and open reduction techniques were performed with avascular necrosis occurring in 7 of 36 patients. Although outcome measures and follow-up were variable, what can be considered a suitable outcome was seen in approximately 83% of patients, with only 3 of 35 requiring a secondary operation. Long-term studies with well-defined outcome measures are needed to adequately predict the prognosis of this rare injury and efficacy of treatment protocols.

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confidence: 80%

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confidence: 99%

Closed Pantalar Dislocation With Checkrein Deformity: A Unique Case Report and Literature Review

Speer¹,

Pike²

2021

JAAOS Glob Res Rev

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“…The case hereby presented corresponds to a male patient of 23 years old, who after a fall from 15 m during a riot in the prison, he was admitted [1] to the Emergency Service. He showed pain, functional deficit and deformity in the left ankle area.…”

Section: Case Reportmentioning

confidence: 99%

“…Total dislocation of talus is an extremely rare injury [1] . It includes approximately 0,04% of whole human body dislocations and 2% of talus injuries [2] .…”

Section: Introduction (Complications)mentioning

confidence: 99%

Closed posteromedial total talus and fibula dislocation without fracture

Bugallo

Bridger

Chiarella

et al. 2021

Trauma Case Reports

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Total dislocation of talus is an extremely rare injury. It can be found few reports about dislocations in distal tibiofibular joint without accompanying fibular or medial malleolus fracture. In this case we report about a young patient with high energy trauma who presents a close total talar posteromedial dislocation associated with a fibula posteromedial dislocation. We perform an open reduction temporarily fixed with K wires and finally with 2 trans-syndesmotic screws.

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“…2 Reduction of the talus usually requires an open technique, although in case reports closed reduction where possible is associated with more favourable outcomes. 1,3,4 Keywords: Orthopaedics, ankle, dislocation…”

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confidence: 99%

The floating foot: a case of total talar dislocation

Hendin

Rosenberg

2016

CJEM

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A 36-year-old male was brought by ambulance to the emergency department after he lost control of his motorcycle and crashed into a tree. He was helmeted and wearing body armor at the time. On primary and secondary survey, he had no apparent injuries, except a grossly deformed left ankle. There were no signs of an open injury, but there was skin tenting over the left lateral ankle. Pulses could not be palpated in the left foot, but a dorsalis pedis pulse was detectable with Doppler. The patient had intact sensation and could move his toes.A portable X-ray was obtained, which demonstrated a complete dorsal dislocation of the talus (Figures 1 and 2).With procedural sedation and the assistance of the orthopaedics team, the talus was urgently reduced with traction on the hindfoot and countertraction on the distal tibia. The ankle was immobilized in a posterior splint and the patient was admitted to the hospital for further workup. A CT scan of the ankle demonstrated fracture fragments from the posterior process of the talus in the tibiotalar joint space, for which he underwent arthroscopic debridement a few days later.Although the talus is the only bone in the body with no tendon or muscle attachments, dislocation is uncommon due to its strong ligamentous attachments and exacting bony articulations. 1 Complete dislocation,

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Nonoperative treatment of closed total talus dislocation without fracture: A case report and literature review

Cited by 9 publications

References 13 publications

Closed Pantalar Dislocation With Checkrein Deformity: A Unique Case Report and Literature Review

Closed Pantalar Dislocation With Checkrein Deformity: A Unique Case Report and Literature Review

Closed posteromedial total talus and fibula dislocation without fracture

The floating foot: a case of total talar dislocation

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