Luxación peritalar medial abierta: a propósito de un caso

Abstract

reha-ABSTRACT Open medial peritalar dislocation: a case report Introduction: peritalar dislocation is a rare lesion that generally occurs in active young men as a result of high-energy trauma. They are classified into several types according to the direction of the calcaneus in relation to the talus. The objective of this work is to present a clinical case of an open medial peritalar dislocation without associated fractures. Clinical case: 19-year-old man who went to the Emer-gency Department after suffering a traffic accident with an electric scooter on public roads. Upon his arrival, he presented a 1-2 cm incised-contused wound on the exter-nal malleolus, tenderness and swelling, and an “acquired clubfoot” deformity. Results: closed reduction under spinal anesthesia, wash-ing, wound suture, checking joint stability by radiological control and immobilization with padded closed plaster were performed. Radiological controls were carried out that showed joint congruence, the cast was removed after 6 weeks. After this, the patient underwent rehabilitation, partial load and physiotherapy with very good final func-tional results. Conclusion: early diagnosis and reduction under anesthesia are a priority to avoid later complications. Dis-miss associated injuries such as fractures or instabil-ities is a priority for the prognosis. Rehabilitation and