. Atlas and epitome of traumatic . the astragalo-tarsal articula-tion, or so-called luxatio sub talo, when outward, is pro-duced by excessive pronation, when inward, by forcedsupination of the foot. Anterior and posterior dislocationsat this joint are even more rare. The diagnosis may pre-sent some difficulties, but can usually be made by carefullypalpating the bony prominences, by finding the movementof the astragalo-crural articulation to be normal, and bynoting the altered shape of the foot, especially if the exam-ination is made under anesthesia. Reduction is very difficult and requires co


. Atlas and epitome of traumatic . the astragalo-tarsal articula-tion, or so-called luxatio sub talo, when outward, is pro-duced by excessive pronation, when inward, by forcedsupination of the foot. Anterior and posterior dislocationsat this joint are even more rare. The diagnosis may pre-sent some difficulties, but can usually be made by carefullypalpating the bony prominences, by finding the movementof the astragalo-crural articulation to be normal, and bynoting the altered shape of the foot, especially if the exam-ination is made under anesthesia. Reduction is very difficult and requires complete relax-ation of the muscle. It may be accomplished by appro-priate manipulation and pressure. Isolated Dislocation of the Astragalus (Talus) The astragalus may be dislocated in various mechanism is extremely complicated, and has neverbeen fully explained. The injury is accompanied bygreat deformity ; the astragalus may be felt more or lessdistinctly through the skin. The tibia approaches the sole Tab.(>


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