{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:04:19Z","timestamp":1756425859223,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:title\/>\n               <jats:p>A 63-year-old man fell from a ladder, thus causing an axial compression injury to the right ankle. Severe deformity was evident and the ankle could not be reduced by simple manipulation. The skin was tented and appearing critically contused. Radiographs revealed an oblique fracture of the posterior aspect of the talar body with dislocation of both the talo-navicular and subtalar joints, an injury previously not described in the literature. The fracture\u2013dislocation was anatomically reduced within 3\u2005h of presentation and stability achieved with two headless buried compression screws. CT scan confirmed anatomical reduction and the patient remained non-weight bearing in a cast for 6\u2005weeks. One year postoperatively, the patient remains pain-free with no radiological signs of avascular necrosis of the talus. This injury is unique and despite its severity and soft tissue compromise good quality reduction and internal fixation resulted in an excellent clinical outcome.<\/jats:p>","DOI":"10.1136\/bcr-2012-006457","type":"journal-article","created":{"date-parts":[[2012,7,30]],"date-time":"2012-07-30T09:32:46Z","timestamp":1343640766000},"page":"bcr2012006457","source":"Crossref","is-referenced-by-count":2,"title":["Posterior talar fracture with dislocation of both talo-navicular and subtalar joints: a variant type II of the Sneppens classification"],"prefix":"10.1136","volume":"2012","author":[{"given":"Ilias","family":"Galanopoulos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quentin","family":"Fogg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Ashwood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,7,30]]},"reference":[{"key":"2025082804245641000_2012.jul27_1.bcr2012006457.1","first-page":"691","article-title":"The treatment of complex fractures of the talus","volume":"20","author":"Adelaar","year":"1989","journal-title":"Orthop Clin North Am"},{"key":"2025082804245641000_2012.jul27_1.bcr2012006457.2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198411000-00011"},{"key":"2025082804245641000_2012.jul27_1.bcr2012006457.3","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1302\/0301-620X.34B4.545","article-title":"Aviator's astragalus","volume":"34","author":"Coltart","year":"1952","journal-title":"J Bone Joint Surg Br"},{"key":"2025082804245641000_2012.jul27_1.bcr2012006457.4","doi-asserted-by":"crossref","first-page":"1559","DOI":"10.2106\/00004623-199610000-00015","article-title":"Varus malalignment of the talar neck: its effect on the position of the foot and on subtalar motion","volume":"78","author":"Daniels","year":"1996","journal-title":"J Bone Joint Surg Am"},{"key":"2025082804245641000_2012.jul27_1.bcr2012006457.5","unstructured":"Schuenke M Schulte E Schumacher U . Thieme atlas of anatomy: General anatomy and musculoskeletal system. Stuttgart: Thieme, 2006."},{"key":"2025082804245641000_2012.jul27_1.bcr2012006457.6","doi-asserted-by":"crossref","unstructured":"Kuner EH Lindenmaier HL Munst P . Talus fractures. In: Tscherne H Schatzker J . eds. Major fractures of the pilon, the talus, and the calcaneus: current concepts of treatment. Berlin: Springer, 1993:71\u201385.","DOI":"10.1007\/978-3-642-77729-5_9"},{"key":"2025082804245641000_2012.jul27_1.bcr2012006457.7","doi-asserted-by":"crossref","first-page":"991","DOI":"10.2106\/00004623-197052050-00013","article-title":"Fractures of the neck of the talus","volume":"52","author":"Hawkins","year":"1970","journal-title":"J Bone Joint Surg Am"},{"key":"2025082804245641000_2012.jul27_1.bcr2012006457.8","doi-asserted-by":"publisher","DOI":"10.3109\/17453677708988775"},{"key":"2025082804245641000_2012.jul27_1.bcr2012006457.9","unstructured":"Delee JC . Fractures and dislocations of the foot. In: Mann RA Coughlin MJ , eds. Surgery of the foot and ankle. Vol. 2. 6th edn. Missouri: Mosby, 1993:1465\u2013703."},{"key":"2025082804245641000_2012.jul27_1.bcr2012006457.10","doi-asserted-by":"crossref","first-page":"221","DOI":"10.2106\/00004623-196345020-00002","article-title":"Late results of the injuries to the talus","volume":"45A","author":"Mindell","year":"1963","journal-title":"J Bone Joint Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-006457","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:25:05Z","timestamp":1756380305000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-006457"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7,30]]},"references-count":10,"alternative-id":["10.1136\/bcr-2012-006457"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-006457","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,7,30]]}}}