May 2007 (Volume 2, No. 5)

1.  Lateral Subtalar Dislocation: A case report   J. Terrence Jose Jerome, MBBS, DNB (Ortho), MNAMS (Ortho), Mathew Varghese,  Balu Sankaran, FRCS,FAMS, K. Thirumagal, MD   

Abstract:  Subtalar dislocation is the simultaneous dislocation of the distal articulations of the talus at both the talocalcaneal and talonavicular joints. It can occur in any direction and always produce significant deformity. Most common is the medial dislocation. Less common presentations are lateral, anterior and posterior dislocations. These dislocations are associated with osteochondral fractures. Closed reduction and immobilization remains the mainstay of treatment. Proper radiographs and CT scan confirms the post reduction alignment stability of subtalar joints and intra-articular fracture fragments. We report a case of lateral subtalar dislocation without osteochondral fracture fragments in a 30-year-old man. 

2.  Open Extrusion of the Talus: A case report   Mark A. Hardy, DPM, FACFAS, Stella Chiunda, DPM  

Abstract:  Open talar extrusion is an uncommon injury that the foot and ankle surgeon may encounter. Possible sequelae of this injury include arthrosis, osteomyelitis and avascular necrosis (AVN). The authors present a case involving an open lateral talar extrusion, with further discussion including mechanism of injury, anatomical considerations, incidence of AVN and perioperative concerns. 

3.  Intramedullary Fixation of the Jones Fracture: A case report   Al Kline,  DPM 

Abstract:  Intramedullar fixation of the Jones Fracture is described in this case report. Advantages of this procedure include percutaneous fixation of a Jones fracture without the need for traditional open reduction and a more rapid return to weightbearing and activity. The procedure is not technically difficult and provides excellent compression strength. This technique is indicated in stress fracture and/or fractures of a single cortex involving the fifth metatarsal as described in the simple classification of Jones fracture. A case report discussing a simple classification system for indication of the surgical correction of the Jones Fracture and technique of this procedure is presented.