Isolated lateral swivel dislocation of talonavicular joint: A rare case report

The authors present a rare case report of a 30 year old male presented with a history of road traffic accident with complain of severe pain and swelling in right ankle and foot. On examination, tenderness and swelling was reported on right foot. Neurovascular examination of right foot was normal. Closed reduction manipulation under sedation was not successful in the emergency room. Open reduction under spinal anaesthesia was performed 12 hours after injury in the operating room. A 4cm longitudinal incision over the talonavicular joint was used for reduction. The talonavicular joint was stabilized with two Kirschner wires placed from the navicular bone to the talus. The Kirschner wires were removed at six weeks immediately after the K-wire removal, the joint was stressed under fluoroscan and deemed stable. Two weeks after the K-wire removal, the joint remained stable and the cast were removed 6 weeks after surgery. The patient was allowed to bear weight, with a gradual increase of load. At 6-month follow-up, his foot was painless and stable. He returned to work in the third month after trauma.