Medial Swivel Dislocation of the Talonavicular Joint Due to High- Energy Trauma: A Case Report.

Introduction: Medial swivel type of talonavicular dislocation is a very rare injury; caused by high high-velocity trauma. This injury occurs due to forceful adduction of the forefoot without inversion of the foot; causing talonavicular joint to dislocate medially while calcaneum swivels under the talus with intact talocalcaeneal interosseous ligament and calcaneocuboid joint. Case Report: We report a case of 38-years-old male who had medial swivel injury to his right foot, sustaining a high- velocity road traffic accident with no other injuries. Conclusion: The occurrences, features, reduction maneuver, and follow follow-up protocol of medial swivel dislocation rare injury has have been presented. Even though it's it is a rare injury, good outcomes are still achievable with proper evaluation and treatment.

Dealing with the disturbed soldier in primary care.

Medical Officers are often called to review violent or disturbed soldiers in barracks or in their homes. Management of the acutely disturbed soldier differs from the acutely disturbed civilian in that, whilst drug therapy will be largely similar, application of the Mental Health Acts (1) varies depending on the soldier's situation and, in some cases, the Acts do not apply at all. In addition, the rules on the arrest and detention of soldiers have changed considerably since the introduction of Human Rights legislation (2).