Presentation
Sprained ankle when dismounting bike.
Patient Data
Normal tibiotalar joint and ankle mortise.
Lateral dislocation of calcaneus, midfoot and forefoot relative to the talus.
Bone fragment originating from lateral malleolus dislocated dorsolaterally.
Normal alignment of sub-talar and talonavicular joint after closed reduction.
Bone fragment of lateral malleolus in almost anatomical position.
Case Discussion
Peritalar dislocation encompasses a combination of sub-talar and talonavicular dislocation. This dislocation is extremely rare, but can have major complications including avascular necrosis and osteoarthritis of the involved joints.