Closed talar dislocation without fracture and 2-year follow-up

Author: 
Josel de Jesús García Salinas, Bertina Díaz de Jesús, Ernesto Roldan Valadez

Male of 36 years of age, when being in a sports activity, suffers fall of his support plane with support on his right ankle in investment and forced varus, WITH bone deformity in the lateral region of the ankle, with inability for the mobility arcs. In the emergency department, a right deformity with varus deformity was observed, with significant edema of the lateral region of the ankle, with incapacity for mobility, without distal neurovascular compromise. X-rays are requested and a lateral closed dislocation of the talus is observed, with integrity of both malleoli. In the Tomography of the right ankle where it is observed with a complete dislocation of the talus towards the lateral with 180 degrees rotation of the talus. In the operating room closed reduction maneuvers are performed under anesthesia, being irreducible. An open reduction and fixation with 0.062 kirschner nails is performed. During the postoperative period with favorable clinical evolution, Follow-up is continued through outpatient consultation, nails are removed at 6 weeks, partial and progressive limb support is initiated, and sent to physical therapy. Two years after his condition, he is asymptomatic, with full mobility arches, no claudication for gait and neurovascular disorders. In radiological control, a normal joint congruency is observed, without avascular necrosis or osteoarthritis.

Paper No: 
1939