Posterior talar fracture with dislocation of both talo-navicular and subtalar joints: a variant type II of the Sneppens classification.
Ilias Galanopoulos, Quentin Fogg, Neil Ashwood
BMJ Case Rep | Published : 2012
A 63-year-old man fell from a ladder, thus causing an axial compression injury to the right ankle. Severe deformity was evident and the ankle could not be reduced by simple manipulation. The skin was tented and appearing critically contused. Radiographs revealed an oblique fracture of the posterior aspect of the talar body with dislocation of both the talo-navicular and subtalar joints, an injury previously not described in the literature. The fracture-dislocation was anatomically reduced within 3 h of presentation and stability achieved with two headless buried compression screws. CT scan confirmed anatomical reduction and the patient remained non-weight bearing in a cast for 6 weeks. One y..View full abstract