Posts: 1242
Joined: January 25, 2003
From: Indianapolis
Status: offline
20 year old college judo star is caught in an ankle lock. He hobbles off the mat and is taken into the training room. The ATC snaps this xray of the foot.
What is the diagnosis and what is the disposition?
Posts: 1090
Joined: December 22, 2007
Status: offline
I don't have a strong background in radiology here, but the anterior talus looks odd in this image. He was able to walk off the mat? Thanks for putting this up.
_____________________________
Rod Henderson, PT Board Certified Orthopedic Specialist (or Super-Freak) Certified Strength and Conditioning Specialist Movement Science Podcast and Blog
Posts: 1090
Joined: December 22, 2007
Status: offline
Did some research: talar neck fx?
_____________________________
Rod Henderson, PT Board Certified Orthopedic Specialist (or Super-Freak) Certified Strength and Conditioning Specialist Movement Science Podcast and Blog
Posts: 63
Joined: December 26, 2007
Status: offline
I witnessed a couple of ortho residents in an ED try to use traction/dorsiflexion to reduce this type of fracture once under fluoroscopy.. It wasn't pretty. Looked a lot like a subtalar manipulation but with *lots* of drugs and *lots* of force. They couldn't get it, and the patient ended up having an ORIF early the next morning. The attending wasn't too pleased.
Posts: 1090
Joined: December 22, 2007
Status: offline
quote:
dislocation of the talus...surgical correction. Talus is fractured.
Wow...that's a medial view of the left foot? That must have been one hell of a trauma.
_____________________________
Rod Henderson, PT Board Certified Orthopedic Specialist (or Super-Freak) Certified Strength and Conditioning Specialist Movement Science Podcast and Blog