Nonoperative treatment of closed total talus dislocation without fracture: A case report and literature review

Complete dislocation of the talus not accompanied by a fracture is a very rare injury. Most cases reported are open talus dislocations; closed dislocations are rarely seen. The functional prognosis is poor due to osteonecrosis of the talus which develops in the majority of cases.We present a case of lateral dislocation of the left talus in a 29-year-old road accident victim, but no fracture could be detected in the talus and any of malleolus. Reduction of dislocation had been performed in emergency by external manipulation. At 1-year follow-up, the right ankle was pain free and stable. Motion was satisfactory: 15° dorsal flexion, 30° plantar flexion; the talus didn't show subluxation and avascular necrosis could not be detected.