scholarly journals Ipsilateral Type IV Closed Talus and Calcaneal Fractures: A Case Report and Review of Literature

2013 ◽  
Vol 47 (3) ◽  
pp. 156-158
Author(s):  
Vikas Bachhal ◽  
Kishan Bhagwat ◽  
Kamal Bali
Keyword(s):  
Case Report ◽  
Proximal Tibia ◽  
Calcaneal Fracture ◽  
High Energy ◽  
Review Of Literature ◽  
Calcaneal Fractures ◽  
Management Options ◽  
Pattern Of Injury ◽  
Type Iv ◽  
Neck Fracture

ABSTRACT Talar and calcaneal fractures are commonly associated with other musculoskeletal injuries and systemic trauma. Both injuries in isolation have a guarded clinical outcome, and are associated with numerous complications whether treated operatively or nonoperatively. Few studies, however, have reported cases with ipsilateral closed talus and calcaneal fractures. We report one such rare case presenting with closed ipsilateral type IV talar neck fracture and type IV communited intra-articular calcaneal fracture as a result of high energy trauma. Unfortunately the patient had a concurrent vascular injury at the proximal tibia level which ultimately necessitated amputation. Through our report we highlight the universally poor results in such cases and discuss the management options if encountered with such a rare pattern of injury. How to cite this article Bhagwat K, Bachhal V, Bali K, Dhillon MS. Ipsilateral Type IV Closed Talus and Calcaneal Fractures: A Case Report and Review of Literature. J Postgrad Med Edu Res 2013;47(3):156-158.

Intra-articular Transcalcaneal Fracture-Dislocation Associated With Ipsilateral Transtalar Fracture: A Report of a Rare Combination

2020 ◽  
Vol 13 (4) ◽  
pp. 335-340
Author(s):  
Danilo Ryuko Cândido Nishikawa ◽  
Bruno Rodrigues de Miranda ◽  
Fernando Aires Duarte ◽  
Guilherme Honda Saito ◽  
Rogério Carneiro Bitar ◽  
...  
Keyword(s):  
Case Report ◽  
High Energy ◽  
Fracture Dislocation ◽  
Calcaneal Fractures ◽  
Short Term ◽  
High Energy Trauma ◽  
Rare Combination ◽  
Severe Bone Loss ◽  
Neck Fracture

The association of ipsilateral talar and calcaneal fractures is an uncommon combination and is typically the result of a high-energy trauma. It is often associated with comminution, marked fracture displacement, and soft-tissue compromise. Obtaining satisfactory clinical and radiographic results is very challenging. Residual deformities, multiple procedures, and limitations are usually the norm. Therefore, studies have suggested that primary arthrodesis may represent the best option of surgical treatment. In this study, we report a case of a 30-year-old male patient with a rare combination of a highly comminuted transcalcaneal fracture-dislocation associated with a talar neck fracture successfully treated with open reduction and internal fixation (ORIF) with an 18-month follow-up. This case demonstrates that even when there are associated fractures of the talus and calcaneus with severe bone loss, ORIF may provide satisfactory outcomes in the short-term postoperative period. Levels of Evidence: Level V: Case report

scholarly journals Management of 1½ month old neglected talus neck fracture: A case report and review of literature

2014 ◽  
Vol 41 (1) ◽  
pp. 50
Author(s):  
NikhilA Khadabadi ◽  
BB Putti ◽  
RaviS Jatti ◽  
DineshR Kale
Keyword(s):  
Case Report ◽  
Review Of Literature ◽  
Neck Fracture

scholarly journals Volar Translunate Perilunate Dislocation: Case Report and Analysis of Review of Literature

2018 ◽  
Vol 11 (S 01) ◽  
pp. S16-S21
Author(s):  
Anil K. Bhat ◽  
Jayakrishnan K. Narayana Kurup ◽  
Ashwath M. Acharya
Keyword(s):  
Case Report ◽  
Injury Mechanism ◽  
Review Of Literature ◽  
Pattern Of Injury ◽  
Perilunate Dislocation

AbstractVolar translunate perilunate dislocations are the rarest form of perilunate dislocations with only a handful of cases reported till now. The injury mechanism is not uniform, and the pattern of injury does not follow traditional classifications. We report a case of volar translunate perilunate dislocation with a review of literature of very few previous reported cases of these rare injuries.

scholarly journals The Osteochondral Lesions of Talus in the Subtalar Joint following the Intra-articular Calcaneal Fractures

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0000
Author(s):  
Chayanin Angthong ◽  
Suebsagul Nangnual
Keyword(s):  
Subtalar Joint ◽  
Preoperative Evaluation ◽  
Osteochondral Lesion ◽  
Calcaneal Fracture ◽  
Osteochondral Lesions ◽  
Fracture Type ◽  
Calcaneal Fractures ◽  
Type Iv ◽  
Mapping System ◽  
Post Traumatic

Category: Hindfoot, Trauma Introduction/Purpose: The cartilage delamination was frequently associated at the posterior articular facet of calcaneus following displaced intra-articular calcaneus fractures. However, little is known about the osteochondral lesion of the posterior facet of talus (OLPT) following an intraarticular calcaneal fracture. This study is to report the prevalence and characteristics of these lesions. Methods: This study retrospectively reviewed 34 patients who had the intraarticular calcaneal fractures. The CT scan was used to preoperatively evaluate the fracture type, the presence, area of lesion, and severity of OLPT following the intraarticular calcaneal fracture. These data were recorded in accordance with Akiyama mapping system, Sanders, and Ferkel classification. Results: The OLPT was found as 94.1% from a total of 34 patients. The most common area of OLPT was anterocentral part (26.5%) of posterior facet of talar surface in accordance with Akiyama mapping system. The most common fracture type was Sanders IV (44.1%). The most common severity of OLPT was Ferkel grade I (82.4%). The OLPT was predominantly associated in Sanders type IV fractures (46.9%; p = 0.412). Conclusion: This study demonstrated the high prevalence of OLPT following the intra-articular calcaneal fracture. Most lesions were mild severity; however, there was a tendency of the association of lesion occurrence with higher grade of fracture severity. The OLPT may play an important role in the formation of post-traumatic osteoarthritis of subtalar joint which can be found following the intraarticular calcaneal fracture. The preoperative evaluation of this lesion is recommended via CT. The lesion treatment may be encouraged to be performed during calcaneal fracture fixation for the reduction of post-traumatic osteoarthritis formation.

Primary Fusion as Salvage following Talar Neck Fracture: A Case Report

2003 ◽  
Vol 24 (4) ◽  
pp. 368-371 ◽  
Author(s):  
Rhys H. Thomas ◽  
Timothy R. Daniels
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Bone Graft ◽  
Range Of Motion ◽  
Avascular Necrosis ◽  
Iliac Crest ◽  
Iliac Crest Bone Graft ◽  
Type Iv ◽  
Neck Fracture

For a 29-year-old man with a three-week-old Hawkins Type IV talar neck fracture, intra-operative reduction and fixation were not possible due to soft tissue contractures and severe comminution. A primary talonavicular and subtalar arthrodesis with the use of iliac crest bone graft was performed. Postoperative follow-up at 16 months demonstrated solid fusions, no avascular necrosis of the talus and a functional range of motion at the ankle. He was not capable of returning to his job of roof maintenance.

Calcaneal Fracture-Dislocation with Entrapment of the Medial Neurovascular Bundle: A Case Report

Foot & Ankle ◽  
1993 ◽  
Vol 14 (7) ◽  
pp. 411-413 ◽  
Author(s):  
Arati R. Mallik ◽  
Mark D. Chase ◽  
Paul C. Lee ◽  
George P. Whitelaw
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Calcaneal Fracture ◽  
Neurovascular Bundle ◽  
Fracture Dislocation ◽  
Calcaneal Fractures ◽  
Peroneal Tendons ◽  
Tarsal Bones ◽  
The Subject

The calcaneus is the most commonly fractured of all the tarsal bones. Soft-tissue interposition, usually involving the peroneal tendons, has been reported to block reduction of calcaneal fractures and subtalar dislocations. 3 , 4 , 10 To our knowledge, no case of entrapment of the neurovascular bundle has been reported. This is the subject of our report.

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