Isolated Talonavicular Dislocation With Delayed Presentation: Treatment Strategy
Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 6
Abstract
Introduction: Isolated talonavicular dislocation is rare because of the strong plantar ligamentous structures that support the joint. Dislocation of the talonavicular joint is rare, caused by severe abduction or adduction of the forefoot. Isolated talonavicular dislocation without complication by navicular, talar neck and open calcaneal fractures is even rare. Case Report: A case of close talonavicular dislocation a 26-year old man is reported, with delayed treatment at 4 months. We describe a closed isolated talonavicular dislocation without complication by navicular, talar neck and open calcaneal fractures. Prompt recognition and rapid reduction of fractures and dislocations gives the best possible outcome. Proper reduction is necessary to avoid equinovarus deformity, ankylosis, or degenerative arthritis, however in chronic untreated case open reduction with talonavicular fusion provides good functional results. Conclusions: A better long term result may have been achieved if closed reduction had been attained at initial presentation. Prompt recognisation and early reduction is necessary to obtain optimal results and to avoid complications. Patient with delayed presentation needs open reduction and fusion. Long term predictable results are achievable with fusion allowing painless functional foot.
Authors and Affiliations
Dr. Rajat Jangir, Dr. Diwakar Mishra, Dr. Abhimanyu Singh
Keywords
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