From: Closed isolated anterolateral calcaneal dislocation: a case report
Author(s) | Sex | Age | Mechanism | Type | Associated injuries | Treatment | Follow up time (months) | outcome |
---|---|---|---|---|---|---|---|---|
Northover & Milner (4) | M | 33 | Motor vehicle collision | Closed, Anterolateral | Fracture of anterior process & sustentaculum tali | Closed reduction & pinning | 6 | Symptom free |
Nepple et al. (5) | M | 45 | Motorcycle accident | Closed, Anterolateral | Fracture of anterior process & sustentaculum tali | Triple arthrodesis (one month delay in treatment) | 12 | Osteomyelitis & wound dehiscence finally: heel varus with mild discomfort |
Nepple et al. (5) | M | 35 | Motorcycle accident | Closed, Anterolateral | Fracture of sustentaculum tali, cuboid & posterior talar process | 2 stages: 1) External fixator 2) ORIF Cuboid & Nonoperative treatment of sustentaculum tali fracture | 6 | Mild pain on uneven surfaces |
Nepple et al. (5) | F | 28 | Motor vehicle collision | Open, Anterolateral | Fracture of anterior process, sustentaculum tali, medial cuneiform, navicular, second metatarsal, third metatarsal & fibula | Irrigation and debridement, Dual spanning external fixators | 12 | Stiffness & minimal intermittent right foot discomfort |
Vishwanath & Shephard (6) | F | 22 | Motor vehicle collision | Closed, Anterolateral | Not mentioned | Open reduction & calcaneocuboid joint fixation with K-wire | 30 | Limping, mild varus, equinus & supination deformity |
Our case | M | 49 | Motor vehicle collision | Closed, Anterolateral | Fracture of sustentaculum tali, cuboid, lateral process of talus & superior peroneal retinaculum avulsion fracture of fibula | 3stages; 1) Closed reduction 2) Open reduction & pinning of calcaneocuboid joint 3) Open reduction and fixation of sustentaculum tali | 34 | AOFAS: 92 VAS pain: 1.9 Return to pre-injury level of activity |