Gen
Talus Fracture
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Talus Fracture
, Snowboarder's Fracture, Lateral Process Talar Fracture, Talar Stress Fracture
See Also
Foot Fracture
Calcaneus Fracture
Mechanism
Acute
Trauma
(rare in sports)
High energy foot injury
Severe foot dislocations (associated with talar neck
Fracture
)
Snowboarder's Fracture
Lateral process Talus Fracture
Often misdiagnosed as
Lateral Ankle Sprain
Occurs with acute dorsiflexion and foot inversion under axial load
Stress Fracture
(rare)
Imaging
Initial imaging
Foot
XRay
Ankle XRay
CT Imaging Indications
High index of suspicion for Talus Fracture despite negative XRay
Complications
Subtalar Dislocation
Avascular Necrosis
Management
Talar body
Fracture
s
Non-displaced talar body
Fracture
s are treated with non-weight bearing and
Casting
or boot
Displaced talar body
Fracture
s are often surgically managed
Talar neck
Fracture
s
Emergent orthopedic
Consultation
if displaced talar neck
Fracture
Lateral Process Talar Fracture (Snowboarder's Fracture)
Non-displaced
Fracture
Non-weight bearing in boot or cast for 6 weeks
Displaced
Fracture
Surgery (typically ORIF)
Talar Stress Fracture
Relative rest, support shoe, walking boot (CAM Boot), or non-weight bearing
Resolution may require up to 6 months
Progressive return to weight bearing
Use
Ankle Brace
after return to activity
References
Feden and Kiel (2017) Crit Dec Emerg Med 31(11): 3-10
Koenig and Clanton in Madden et al (2010) Netter's Sports Medicine, Saunders, Philadelphia, p. 469-70
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