An Unusual Inverted Talar Neck Fracture–Dislocation
Talar neck fractures occur on a continuum of injury severity. Hawkins classification, later modified by Canale, is the gold standard method of describing talar neck fractures by the degree of dislocation. It has proven to be clinically relevant in predicting risk of osteonecrosis. Despite its merits...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2022/8014529 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832552910806843392 |
|---|---|
| author | Brent Kokubun Motasem Refaat |
| author_facet | Brent Kokubun Motasem Refaat |
| author_sort | Brent Kokubun |
| collection | DOAJ |
| description | Talar neck fractures occur on a continuum of injury severity. Hawkins classification, later modified by Canale, is the gold standard method of describing talar neck fractures by the degree of dislocation. It has proven to be clinically relevant in predicting risk of osteonecrosis. Despite its merits, talar neck fractures present on a wide spectrum of involvement of the body and neck, dislocation, and concomitant injuries, making every situation a challenge in treatment. We present a unique case of a talar neck fracture in which the talar dome had dislocated and inverted 180°, which is not described in the widely used Hawkins classification. We recommend urgent open reduction, low threshold for use of a transcalcaneal traction pin and dual incisions, and guarded prognosis of osteonecrosis and posttraumatic arthritis. |
| format | Article |
| id | doaj-art-4f52c40be56c4568955adc79a3336205 |
| institution | Kabale University |
| issn | 2090-6757 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-4f52c40be56c4568955adc79a33362052025-02-03T05:57:26ZengWileyCase Reports in Orthopedics2090-67572022-01-01202210.1155/2022/8014529An Unusual Inverted Talar Neck Fracture–DislocationBrent Kokubun0Motasem Refaat1University of California at San Francisco FresnoUniversity of California at San Francisco FresnoTalar neck fractures occur on a continuum of injury severity. Hawkins classification, later modified by Canale, is the gold standard method of describing talar neck fractures by the degree of dislocation. It has proven to be clinically relevant in predicting risk of osteonecrosis. Despite its merits, talar neck fractures present on a wide spectrum of involvement of the body and neck, dislocation, and concomitant injuries, making every situation a challenge in treatment. We present a unique case of a talar neck fracture in which the talar dome had dislocated and inverted 180°, which is not described in the widely used Hawkins classification. We recommend urgent open reduction, low threshold for use of a transcalcaneal traction pin and dual incisions, and guarded prognosis of osteonecrosis and posttraumatic arthritis.http://dx.doi.org/10.1155/2022/8014529 |
| spellingShingle | Brent Kokubun Motasem Refaat An Unusual Inverted Talar Neck Fracture–Dislocation Case Reports in Orthopedics |
| title | An Unusual Inverted Talar Neck Fracture–Dislocation |
| title_full | An Unusual Inverted Talar Neck Fracture–Dislocation |
| title_fullStr | An Unusual Inverted Talar Neck Fracture–Dislocation |
| title_full_unstemmed | An Unusual Inverted Talar Neck Fracture–Dislocation |
| title_short | An Unusual Inverted Talar Neck Fracture–Dislocation |
| title_sort | unusual inverted talar neck fracture dislocation |
| url | http://dx.doi.org/10.1155/2022/8014529 |
| work_keys_str_mv | AT brentkokubun anunusualinvertedtalarneckfracturedislocation AT motasemrefaat anunusualinvertedtalarneckfracturedislocation AT brentkokubun unusualinvertedtalarneckfracturedislocation AT motasemrefaat unusualinvertedtalarneckfracturedislocation |