Initial radiographs from the emergency department were obtained for review. Case Photo #1
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These x-rays showed a Hawkins type II talar neck fracture with 18 mm of displacement at the subtalar joint posterior facet causing near 100% dislocation of the talar body.
Repeat x-rays were obtained in office to further assess her fracture. Case Photo #4
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These radiographs showed subtle shortening of the talar neck with faint fracture line through the neck of the talus extending diagonally to the subtalar joint without significant dislocation.
Right ankle CT scan was obtained the following day to further assess the fracture. Case Photo #6
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It confirmed an oblique fracture through the talar neck with minimal displacement anteriorly and superiorly measuring 1.4 mm with no subtalar displacement. Early bony bridging was noted across the fracture site indicating some degree of healing.
Following CT results, the patient was referred to orthopedic surgery for further evaluation and treatment given her injury typically required surgical stabilization.
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