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Fractures and Dislocations of the Talus and Calcaneus: A Case-Based Approach

  • Michael JungEmail author
  • Joseph Galloway
  • Jonathan Eastman
Chapter
  • 54 Downloads

Abstract

Peritalar fracture dislocations are relatively uncommon. They usually occur as a result of high-energy trauma and are frequently associated with concomitant bony injuries. If not treated appropriately, these injuries can lead to significant morbidity. Appropriate management includes a meticulous physical examination focused on the condition of the skin and soft tissues, and a thorough understanding of fracture morphology utilizing plain X-ray and computed tomography. Dislocations must be diagnosed and reduced promptly. If closed reduction is unsuccessful, then open reduction is indicated. Peritalar fractures, especially those involving the subtalar joint, can cause residual instability and lead to post-traumatic arthrosis if not accurately reduced. Common complications following subtalar fracture dislocations include hindfoot stiffness, subtalar and/or tibiotalar arthrosis, and soft tissue injuries. Accurate diagnosis, expeditious reduction, and anatomic fixation are essential tenets to lessen long-term sequelae in the management of these complex fracture patterns.

Keywords

Subtalar Peritalar Fracture-dislocation Talus dislocation Calcaneus dislocation Talus fracture Calcaneus fracture 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Michael Jung
    • 1
    Email author
  • Joseph Galloway
    • 1
  • Jonathan Eastman
    • 2
  1. 1.Orthopaedic SurgeryRutgers New Jersey Medical SchoolNewarkUSA
  2. 2.Orthopaedic SurgeryUniversity of CaliforniaSacramentoUSA

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