Comminuted markedly displaced fracture through the neck of the talus with complete disruption of the ankle articulation. The talar dome is situated posterior to the tibia, effacing Kager's fat pad.
Further displaced transverse fracture through the distal fibula, below the level of the syndesmosis - distal fragment located posterior to the talar dome fragment.
Oblique fracture through the proximal shaft of the 1st metatarsal and the base of the 2nd metatarsal. Injury to the Lisfranc joint cannot be excluded.
Impression
- Comminuted displaced fracture through the neck of the right talus with complete disruption of the ankle articulation. Talar dome situated posterior to the distal tibia. Hawkins type 3 fracture.
- Displaced transverse right distal fibula fracture.
- Oblique fracture through the proximal shaft of the 1st metatarsal and the base of the 2nd metatarsal.