Will you review this patient with an open ankle injury?

Clinical introduction This patient presented with pain and deformity to the left ankle following a road traffic collision (RTC). The patient had been riding an electric scooter and been knocked off by a van pulling out of a side street. The patient reported feeling his ankle was crushed under the scooter. On examination the ankle was grossly deformed with a deep laceration over the lateral malleolus. The foot was neurovascularly intact, and the patient was sent for plain films of the ankle (figure 1) Question What injury has the patient sustained? Subtalar dislocation Hawkins type II injury Total talar dislocation Marti/Weber type IV injury. Answer C. Total talar dislocation. The talus articulates with three structures: the tibia, the calcaneum and the navicular bone. Injury, usually high mechanism injuries such as RTCs, can lead to dislocation of the talus...
Source: Emergency Medicine Journal - Category: Emergency Medicine Authors: Tags: EMJ Image Challenge Source Type: research