Total talar dislocation is a rare injury that is usually open. We report a case of closed anterolateral dislocation in a 19 year old, following a fall from a bicycle. He was treated with prompt closed reduction. A magnetic resonance imaging scan 6 months later showed no signs of avascular necrosis. At 2 years follow-up, the patient had a full, pain free, range of motion at the ankle and subtalar joints.
Levels of Evidence: Therapeutic, Level IV: Case Study
KenwrightJTaylorRG. Major injuries of the talus. J Bone Joint Surg Br. 1970;52:36-48.
2.
HiraizumiYHaraTTakahashiMMayehiyoS. Open total dislocation of the talus with extrusion (missing talus): report of two cases. Foot Ankle. 1992;13:473-477.
3.
TaymazAGunalI. Complete dislocation of the talus unaccompanied by fracture. J Foot Ankle Surg. 2005;44:156-158. doi:10.1053/j.jfas.2005.01.008.
4.
XarchasKCPsillakisIGKazakosKJPelekasSVerveridisANVerettasDA. Total dislocation of the talus without a fracture. Open or closed treatment? Report of two cases and review of the literature. Open Orthop J. 2009;3:52-55. doi:10.2174/1874325000903010052.
5.
GaskinJSHPimpleMK. Closed total talus dislocation without fracture: report of two cases. Eur J Orthop Surg Traumatol. 2007;17:409-411. doi:10.1007/s00590-006-0187-8.
6.
PavićR. Talocalcaneal transfixation in total dislocation of the talus and subtalar dislocations. Mil Med. 2009;174:324-327.
7.
NewcombWJBravEA. Complete dislocation of the talus. J Bone Joint Surg Am. 1948;30:872-874.
8.
MitchellJ. Total dislocation of the astralgus. J Bone Joint Surg. 1936;18:212-214.
9.
MaffulliNFrancobandieraCLeporeLCifarelliV. Total dislocation of the talus. J Foot Surg. 1989;28:208-212.
10.
LeitnerB. The mechanism of total dislocation of the talus. J Bone Joint Surg Am. 1955;37:89-95.
11.
SchifferGJubelAElsnerAAndermahrJ. Complete talar dislocation without late osteonecrosis: clinical case and anatomic study. J Foot Ankle Surg. 2007;46:120-123. doi:10.1053/j.jfas.2006.11.004.
12.
MulfingerGLTruetaJ. The blood supply of the talus. J Bone Joint Surg Br. 1970;52:160-167.
