Anteromedial cannulated screw fixation for Hawkins II/III talus fractures in children: a retrospective study.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. 18. Medicine (Baltimore). 2022 Nov 4;101(44):e28073. doi: 10.1097/MD.0000000000028073. Fracture neck of the talus with isolated talonavicular dislocation: A case report. Selim A(1)(2), Naqvi AZ(3), Magill H(4), Smith J(3). Author information: (1)Cairo University Hospitals, Cairo, Egypt. (2)Homerton Hospital, London, UK. (3)Hillingdon Hospital, Uxbridge, UK. (4)Chelsea and Westminister Hospital, UK. INTRODUCTION: Talar neck fractures are injuries which frequently result in adverse outcomes or impairment of functional activity. Four groups were identified according to Hawkins classification and Canale modification. We present a female patient with a fractured neck of the talus associated with talonavicular dislocation, but intact tibiotalar and subtalar joints; an injury pattern not fulfilling the criteria described in the Hawkins classification. PATIENT CONCERNS: A 46-year-old woman missed a step and fell down stairs with an immediate painful right ankle and inability to bear weight. DIAGNOSIS: Talar neck fracture with an unusual isolated talonavicular dislocation. INTERVENTIONS: Temporary closed reduction followed by open reduction and internal fixation were performed. OUTCOMES: The patient had excellent functional and radiological outcomes following surgical management. CONCLUSION: We discuss the management of this rare case in addition to a review of the current literature to provide the best evidence-based recommendations for this injury pattern. Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. DOI: 10.1097/MD.0000000000028073 PMCID: PMC9646572