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Peritalar dislocation is a term that has been described as an injury involving a simultaneous dislocation to both the subtalar and talonavicular joints without a fracture of talar neck or tibiotalar disruption. It often results from high-energy trauma but may also result from sports injuries. It occurs most frequently with a medial dislocation and less frequently with a lateral, anterior, or posterior dislocation. The treatment for most peritalar dislocations is closed reduction, although surgical intervention may be a requirement in cases where reduction is unobtainable. We present a rare lateral peritalar dislocation requiring open reduction. ACFAS Level of Clinical Evidence: 4.