Erdal UZUN, Mahmut MUTLU, Turan Bilge KİZKAPAN, Ali Eray GUNAY, Abdulhamit MİSİR

Closed posterior total (pan-talar) dislocation of the talus: an unusual injury patern

Major displaced fractures and dislocations of the talus are uncommon. Total talar dislocations are caused by high-energy traumas occuring as dislocations from all its surrounding articulations. Pathophysiologic mechanisms are still a subject of controversy.Most reported cases are open talus dislocations; closed dislocations are rarely seen. Here, we present a 25 year old male with an injury of closed posterior total talus dislocation with concomitant medial malleolus fracture. After closed reduction of talus, internal fixation of medial malleolus was performed. At the last visit, the ankle was painless, stable with mobility, and without anyradiologic signs of avascular necrosis of talus

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Schiffer G, Jubel A, Elsner A, Andermahr J. Complete talar dislocation without late osteonecrosis: clinical case and anatomic study. J Foot Ankle Surg 2007;46(2):120-3.
Hidalgo Ovejeroam AM, Garcia Mata S, Heras Izaguirre J, Martinez Grande M. Posteromedial dislocation of the talus, a case report and review of the literature. Acta ortho Belg 1991;51(1):63-7.
Curvale G. Pathologie traumatique du talus. Cahiers d'enseignement de la SOFCOT. Paris: Elsevier 1999. p. 87-102.
Detenbeck LC, Kelly PJ. Total dislocation of the talus. J Bone Joint Sur (Am) 1969;51(2):283-8.
Asselineau A, Augereau B, Bombat M, Apoil A, Feuilhade P. Partial or total enucleation of the talus. Value of conservative treatment. A propos of 8 cases. Rev Chir orthop Reparatrice Appar Mot 1989;75(1):34-9.
Pennal GF. Fracture of the talus. Clin Orthop Res 1963;30:53-63.
Gaskin JSH, Pimple MK. Closed total talus dislocation without fracture: report of two cases. Eur J Orthop Surg Traumatol 2007;17:409-11.
Heylen S, De Baets T, Verstraete P. Closed total talus dislocation: a case report. Acta Orthop Belg 2011;77(6):838-42.
Krasin E, Goldwirth M, Otremski I. Complete open dislocation of the talus. J Accid Emerg Med 2000;17(1):53-4.
Hiraizumi Y, Hara T, Takahashi M, Mayehiyo S. Open total dislocation of the talus with extrusion (missing talus): report of two cases. Foot Ankle 1992;13(8):473-7.