Increasingly Hard to Swallow – 18 Years of Changing Tonsillectomy Practice in Northern Ireland.

摘要

A closed dislocation of the talus, without fracture, occurring after low energy trauma is extremely rare. We report our experience of a 47 year old gentleman who presented with a closed posteromedial dislocation of his talus following forced pronation of his foot while playing football. This was reduced urgently in the Emergency Department under conscious sedation and managed in a short leg cast for 6 weeks. Early CT imaging revealed osteochondral injury to the talar dome, not visible on plain radiographs. There are few reported cases in the literature and no guidelines regarding the optimal method of treating this injury. We advocate attempted urgent reduction to preserve function and early CT imaging to assess for injuries that are not apparent on plain radiographs.