Presentation
Motor vehicle collision. Tender and swollen left ankle.
Patient Data
Age: 60 years
Gender: Female
From the case:
Talar fracture
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Comminuted talar fracture with subluxation.
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There has been interval incomplete reduction of the comminuted talar fracture. There is intra-articular (ankle and subtalar joint) extension and a wedge shaped fragment lying within the talocalcaneal joint space. The posterior talar fragment remains dorsally displaced and the talonavicular joint is anteriorly subluxed.
From the case:
Talar fracture
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There has been open reduction internal fixation of the talus. There has been no significant interval change.
Case Discussion
Talar head is at risk of AVN if there is a fracture through the talar neck.