Radiograph shows an extruded talar body in the setting of a Hawkins III talar neck fracture

“Talar extrusions are rare injuries and are caused by high energy mechanisms. Complete dislocation without a concomitant fracture is extremely rare. The talus is prone to dislocation as there are no muscular attachments. These injuries need to be treated with anatomic reduction and internal fixation to prevent avascular necrosis and post-traumatic arthritis.”