$talus fracture$

$talus fracture$

#Talus fracture skin
#Talus fracture plus

The talus may also fracture through a prominence on the outside of the bone called the lateral process. Talus fractures in a four year old child BMJ Case Rep 2017 doi: 10.1136/bcr-2016-215063īyrne AM.Reproduced and modified with permission from Fortin PT, Balazsy JE: Talus fractures: evaluation and treatment. Fractures of the Talus - Differences between Children and Adolescents. Pocketbook of Orthopaedics and Fractures. Complications of Talus Fractures in Children.

- Osteoarthritis of the tibiotalar or subtalar joint.

This is particularly common in displaced talar neck fractures, and is associated with significant disability.

- Avascular necrosis, due to the non-redundant blood supply of the talus.

This is a stricter regimen than in most ankle fractures.ġ2. What are the potential complications associated with this injury?

- The ankle will be immobilised and weight-bearing avoided until there is radiographic evidence of healing, due to the risk of avascular necrosis.

- Displaced injury: will need follow-up as arranged by orthopaedics.ġ1. What advice should I give to parents?.

$talus fracture$

- Nondisplaced injury: fracture clinic in one week with repeat X-Ray (AP, lateral and oblique).(Return to weight bearing will be discussed by orthopaedics in the course of follow-up) Crutches or a wheelchair may be required to facilitate this. - Displaced fractures should be referred to the nearest orthopaedics service.If there is doubt about whether the fracture is truly non-displaced, a CT may be required. - Truly undisplaced fractures can be placed in a below-knee cast with ankle at 90 degrees and seen in fracture clinic within a week.These can have more displacement than is obvious on xray.ĩ. What is the usual ED management for this fracture? - Any talar neck fracture should be referred to the orthopaedics service at the time.Ideally this would take place in theatre if timely access is available.

#Talus fracture skin

- Type 3 and 4 talar neck fractures (displaced with posterior fragment extruded backwards) need urgent reduction as the skin is at risk of necrosis, and closed reduction often fails.

If closed reduction is unsuccessful, open reduction internal fixation may be required.

- Displaced talar neck fractures require reduction by orthopaedics.

$talus fracture$

When is reduction (non-operative or operative) required? - MRI is sometimes used in diagnosis of a suspected osteochondral fractureħ.- CT may be required either for operative planning or to assess whether a fracture is truly non-displaced.- 3 plain-film views of the ankle: AP, lateral and oblique.- There may be co-existing fractures or injuries in high-force mechanismsĥ. What radiological investigations should be ordered?.- Findings may be minimal in a non-displaced or osteochondral fracture, especially in ankle inversion injuries.- Pain and swelling just distal to the anterior aspect of the ankle.

#Talus fracture plus

- Fractures of Talar neck and body occur with combination of dorsiflexion plus axial loading: eg falling from a height in crouching position or collision of go-cart with foot on brake pedal.

- Uncommon injury, particularly in children.

How common are they and how do they occur Hawkins Classification of Talar Neck fractures:ģ.

- Displacement (Including presence of absence of subtalar subluxation.

- Anatomical Location: Neck, Body, Lateral Process, or osteochondral fracture of the dome.

This risk can be attenuated by appropriate early diagnosis and management. Talus fractures are uncommon injuries in children but are frequently associated with significant long-term disability due to the risk of avascular necrosis or osteoarthritis.

$talus fracture$