Saturday 6 May 2017

image Q. 39 - Outlaw

Q. Extrusion is named for complete prolapse of intervertebral disc into spinal canal. Apart from it, the extrusion of which of the bones in below radiograph is well described injury?

a. Navicular
b. Calcaneum
c. Cuboid
d. Talus
e. Medial cuneiform


















































































Answer -
d

Total Talar extrusion is rare injury in which the talus is dislocated and is outside with the skin and soft tissue defect and  mostly with gross contamination. The management consists of good lavage, debridement and reposition of talus as per surgeon's descretion and judgement with guarded prognosis.

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