We present a case of neglected peritalar dislocation, 8 weeks old in a young male treated by open reduction and pin fixation. Patient was followed for 2 years and at the end of 2 years patient had good functional result. Introduction The peritalar dislocation is a rare injury (1,2,3,4,5,6). It consists of the simultaneous displacement of talocalcaneal (subtalar) and talonavicular joints, with no associated fracture at the talar neck or body, and without any compromise of talocrural (ankle) and calcaneocuboid joints (6,7,8,9,10,11,12). Peritalar dislocation represents around 1% to 2% of all traumatic dislocations (13) and 15% of all talar injuries (2, 6,7,8, 14). Most affected patients are young and male at the third decade of life (8, 15). 50% to 80% of peritalar dislocations are caused by a violent trauma resulting from motorcycle or car accidents or from a fall from height. Some injuries are caused by a torsional trauma associated to sports activities, and are called “basketball foot” (6, 8, 15). Medial peritalar dislocations represent 80% cases, four-fold more often than lateral dislocations (17%) (4, 9, 17,18). Lateral dislocations usually occur due to trauma with higher energy and more than 50% of these lesions are open (19). There is a lower frequency of posterior and anterior dislocations, representing 2.5% and 1% of all cases, respectively (18). Immediate reduction is important to avoid skin necrosis and peripheral vascular compression (7,8, 11,12,16). Closed reduction is possible in most peritalar dislocations (1,7,22); however, in around 10% to 20% of cases, open reduction becomes necessary due to soft tissue interposition or due to severe swelling created by the diagnostic delay(7,11,12,13,21). Case Report A 30 year old male presented with neglected medial peritalar dislocation of right ankle, 8 weeks old with sloughing of skin over the talar head. (Fig.1)
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