It has an odd humped shape, somewhat like a turtle. Nevertheless, some fractures have both neck and body components. Posterior talar process fracture radiology reference. Les fractures du col du talus representent 50 % des traumatismes. Through a minimally invasive technique, the talus fracture was reduced and. We encountered cases of isolated fracture of the lateral process of the talus and assess. Average patient age was 39 2064 years and average followup 53 months. No disclosures relevant to this topic acknowledgement. The talus bone is a square, flat bone on top of the calcaneus heel bone. I examined and evaluated fortythree of the patients more than one year after injury. Inokuchi defined a fracture of the talar body as one in which the main fracture line exited the inferior cortex of the talus through or posterior to the posterior subtalar facet. The fracture had occurred in the neck of the talus in 52 feet and. Fractureseparation fractureluxation fractureseparation type i type ii type iii. Fore 2014 current solutions in foot and ankle surgery.
Because of these peculiar characteristics, talar fractures not correctly diagnosed and treated can lead to avascular necrosis. Imaging of fractures of the lateral process of the talus, a frequently missed diagnosis. It connects the calcaneus with the tibia and fibula lower leg bones to form the ankle. We discuss talus fracture aka broken foot with simple language and useful pictures to help everyone understand this topic. If you continue browsing the site, you agree to the use of cookies on this website.
Arthritis may occur above the talus at the ankle joint, or below the talus at the subtalar joint. A shepherd fracture refers to a fracture of the lateral process. It connects the heel with the lower leg bones to form the ankle. Apr 21, 2020 fractures of the talus include a broad spectrum of injuries and consequently require an individualized approach to their evaluation and management. Case presentation a 44yearold male constructor worker fell down from a 3storey high building and presented to our emergency department. Feb 03, 2020 a talar fracture is a break in the talus bone of your foot. Fracture ipsilaterale du talus et du calcaneus request pdf. To prevent a talus fracture, individuals should be careful and consciously aware, while performing any physical activities, such as sports, or even some normal daily activities that could lead to situations involving accidents. Oct 05, 2018 talus stress fracture occurs due to continuous, repetitive weight bearing or due to compressive forces on it. Because the talus is important for ankle movement, a fracture often results in substantial loss of motion and function.
The treatment of talar body fractures with compression screws. We found no cases of avascular necrosis of the body of the talus. Apr 11, 2020 a talus fracture is a break in the small bone at the base of the ankle. When the cartilage is injured, the normally smooth joint surface becomes uneven. The talus, the second largest tarsal bone, has distinctive imaging characteristics and injury patterns. We treated three patients with talus body fracture and. A talus fracture occurs in about 57 of foot injuries. A cedell fracture is a fracture of the medial process.
Preoperative ct scan of the left ankle with a the sagittal view of the pilon fracture and the split fracture of the talus, b distal fibula pushing the talus fragment anterior, c frontal view of the pilon fracture and the talus split fracture, d axial view with the fibula in the incisura, e fibula splitting the tibial plafond, and reconstruction of the left foot in f frontal. From 1993 to 2002, we treated nine patients for neglected or malreduced talar fractures. Delayed surgical treatment for neglected or malreduced talar. These irregularities can lead to accelerated wear in the joint, and. The tarsus forms the lower part of the ankle joint. A type i fracture is through the neck of the talus without dislocation or subluxation, where only one source of blood supply may be jeopardized fig 2. Talus fractures philipp leucht, md stanford university school of medicine orthopaedic trauma course for nppas ota 20 outline anatomy surgical approaches fixation strategies outcomes and complications anatomy bone 6070% articular cartilage no muscular attachments complex articulations anatomy vascular 1. Fractures of the talar neck talar neck fractures account for approximately 50% of all talar fractures. The fracture line was trans verse in the neck or body of the talus in 20 cases, sagittal in four and comminuted in eight cases. How important is this topic for board examinations. Eightysix patients who had experienced a fracture of the talus more than 10 years previously were assessed.
Talus fractures a talus fracture is a break in one of the bones that forms the ankle. As a result, talus fractures are often accompanied by other injuries, including dislocation of adjacent joints and fracture of neighboring bones. Fractures souvent articulaires,evolution longue et trainante,troubles trophiquesoedeme,cyanose,fibrose,osteoporose,algodystrophie rappel anatomique. Fractures of talar body are rare and serious injuries and frequently seen in multiply injured and polytraumatised patients. Smith introduction fractures of the talus comprise only a very small pro portion of foot injuries but its unique anatomy and pathology increase its importance with regard to sur gical interest and potential disability for the patient far in excess of. Jan 04, 2012 basic overview of talus anatomy, blood supply and fracture classification slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. It is the second most common type of tarsal fracture with an incidence of 0.
Talus fracture other than neck trauma orthobullets. Highenergy trauma that produces displaced talar neck fractures hinder the blood supply to the body of talus with produces varying degrees of articular cartilage. Treatment for the minimally displaced or stable fracture can sometimes be treated with immobilization such as a cast. For that reason fewer than 80 cases only five cases in japan have been reported and the mechanism of injury and treatment policy have yet to be established. Please vote below and help us build the most advanced adaptive learning platform in medicine. After intramedullary nailing of closed tibial shaft fracture. This scenario, however, is the exception and not the rule.
Excessive weight bearing and force to the ankle such as seen in running. Basic overview of talus anatomy, blood supply and fracture classification slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. This type of fracture often occurs during a highenergy event, such as a car collision or a fall from a significant height. This type of fracture often occurs during a highenergy event, such as a car collision or a highvelocity fall. A simple technique for reduction of nearly extruded talar body in hawkins type iii fracture neck talus amr farouk abdel rahman, mohamed mokhtar abdella and mohammed zayan ibrahim department of orthopedic surgery, ain shams university, egypt submission. Children must be provided a safe environment to work, study, or play. A talus fracture is a break in one of the bones that forms the ankle. The talus is a small bone at the ankle joint that connects the heel bone and the shin bones. Liegt diese hinter dem pro cessus lateralis, so handelt es sich um eine taluskorpus.
Talus, fracture totale, fracture parcellaire, lesion osteochondrale, osteonecrose aseptique. Well explain the types, how theyre treated, and the recovery timeline. Fractures of the talus include a broad spectrum of injuries and consequently require an individualized approach to their evaluation and management. Talar fractures and dislocations rsna publications online. Management of fracture neck of talus and clinical evaluation. Talus iind most common tarsal fracture 60% coverage by articular cartilage no tendon muscle attachments tenuous blood supply 90% of motion of foot ankle body, neck, head, lat. Fractures are often very painful and cause major swelling and tenderness. Secondary soft tissue compromise in tonguetype calcaneal fractures.
Talus fracture the talus taylus is a small bone that sits between the heel bone calcaneus and the two bones of the lower leg tibia and fibula. The full text of this article is available in pdf format. There is an increased incidence of talus fracture among snowboarders due to the unique stress placed on the talus when landing from jumps on a snowboard. The talus is one of the three bones involved in the ankle joint. A simple technique for reduction of nearly extruded talar. This drives the lateral process of the talus into the calcaneus, and depending on the position of the subtalar joint, may result in a tonguetype calcaneus fracture or a depressed variant 6, 7, 8. The high variability of talar fractures, their relatively low incidence together with the high percentage of concomitant injuries makes treatment of these injuries a challenge to the surgeon. A talus fracture usually results from serious trauma to the foot. Talus fractures most commonly occur when a person falls from a height or sustains some other type of forced dorsiflexion injury to the foot or ankle. An elongated lateral tubercle of the posterior process of the talus is referred to as a stieda process, so occasionally these fractures are described as stieda process fractures. An open fracture of the left talus gustilo type 3b was visible with an external submalleolar wound of 7 centimetres. We will explain what causes a talus fracture, the different types of talus fracture, how a talus fracture is diagnosed, different ways to treat a talus frac. The combination of a body sagittal fracture of the talus and the medial malleolus is exceptional.
Smith introduction fractures of the talus comprise only a very small pro portion of foot injuries but its unique anatomy and pathology increase its importance with regard to sur gical interest and potential disability for the patient. Talus fractures most commonly occur as a result of a fall or other type of trauma. The talus ankle bone sits within the ankle mortise or hinge, which is made up of the two. Association of bosworth, pilon, and open talus fractures. A talar fracture is a break in the talus bone of your foot. Talus stress fracture occurs due to continuous, repetitive weight bearing or due to compressive forces on it.
It joins with the two leg bones tibia and fibula to form the ankle joint and allows for upward and downward motion of the ankle. Oct 26, 2017 a talus fracture usually results from serious trauma to the foot. In 1919, anderson reported 18 cases of fracture dislocation of the talus and coined the term. In younger individuals the mechanism is usually a highenergy injury with an associated axial load applied to the foot. Talar fracture in adults discharge care what you need to know. This is a followup study of fiftyseven vertical fractures of the neck of the talus in fiftyfive patients. Talus fracture types everything you need to know dr. The talus is the bone in the back of the foot that connects the leg and the foot.
Talar body fracture combined with medial malleolar fracture. The talus ranks as the second largest tarsal bone with unique anatomic features and serves an important role in mobility of the foot and ankle. Jan 11, 2020 arthritis is common after a talus fracture because so much of the bone is covered with cartilage. Surgical procedures included open reduction with or without bone grafting in six cases, open reduction combined. Learn more about a foot talus bone fracture, including symptoms, causes and risk factors, and diagnosis of a broken foot. Fracture simultanee du tibia et du col du talus a propos d. Current orthopaedics 1997 11, 2427 1997 pearson professional ltd trauma masterclass.
A talus fracture is a break in the small bone at the base of the ankle. Because the talus is important for ankle movement, a fracture often results in significant loss of motion and function. Repeated overpronation and plantar flexion of ankle. Translated from english by this website translates english to other languages using an automated tool.
The talus connects the top of the foot to the ankle and provides much of the joints stability, range of motion, and weightbearing ability. The time interval between injury and index operation ranged from 4 weeks to 4 years. Talus fractures outline orthopaedic trauma association. It transmits the entire weight of the body from the lower legs to the foot. The predominantly extraosseous vascular supply of the.
There can be fractures of the talar neck, the lateral process of the talus and the talar head. Its the essential piece needed to enable the up and down movement of the foot. Fractures of the talus follow an axial compression between the talus and the calcaneus tibiofibular mortise associated with forced dorsiflexion of the foot 5. Bonvin f, montet x, copercini m, martinoli c, bianchi s. Most talus fractures, particularly displaced fractures require operative treatment in the form of surgical reduction with screws. The bones of the lower leg ride on top and around the sides to form the ankle joint.
1510 320 47 697 1450 1172 1300 444 1501 1349 1309 85 681 45 31 837 80 1030 1443 1034 97 212 581 1048 354 14 362 1040 843 1024 222 770 1268 139 174 829 1300 196 117 1350 139 326 1435 1273 513