Triple Anterolateral Dislocation of the Talus: A Case Report

Case Report

Austin J Orthopade & Rheumatol. 2019; 6(1): 1073.

Triple Anterolateral Dislocation of the Talus: A Case Report

Boussaidane M*, Beniass Y, Boukhriss J, Chafry B, Benchebba D, Bouabid S and Boussouga M

Department of Traumatology and Orthopedics II, Military Hospital Mohammed V, Morocco

*Corresponding author: Boussaidane M, Department of Traumatology and Orthopedics, Military Hospital Mohammed V Rabat, Morocco

Received: June 03, 2019;Accepted: July 05, 2019; Published: July 12, 2019

Abstract

The triple dislocation of the talus is the rarest but most serious traumatic lesion of the hindfoot. We report a case of closed anterolateral enucleation of the talus, treated conservatively with a good functional result in the trauma-orthopedic II Department of the Military Hospital Mohammed V of Rabat. Currently, most authors agree on the conservative treatment of enucleations in emergency and reserves the arthrodesis for septic and osteoarthritic complications.

Keywords: Triple dislocation; Talus; Conservative treatment

Introduction

Triple dislocation of the talus or enucleation of the talus is an extremely rare and serious lesion, representing 2 to 10% of talian traumatisms [1,2]. The talus loses all its vascular connections, and its vitality is compromised [3]. The prognosis for this type of lesion is dominated by the risk of osteonecrosis [3].

Three-quarters of talus enucleation cases reported in the literature are open [4]. We report a case of closed anterolateral enucleation of the talus, treated conservatively with a good functional result in the trauma-orthopedic service II of the Military Hospital Mohammed V of Rabat.

Observation

Mr. H.J, a 29-year-old man with no previous medical or surgical history, who suffered a road accident resulting in closed right foot trauma with total functional impotence and severe pain. The clinical examination showed a large distortion of the right foot in adduction, supination and inversion and a Varus attitude of the right ankle. With a talus projecting outwards and forwards (Figure 1). Without cutaneous opening or vascular-nervous complications.