Talus fracture: Difference between revisions
Neil.m.young (talk | contribs) (xray added) |
Ostermayer (talk | contribs) (Text replacement - "Category:Ortho" to "Category:Orthopedics") |
||
| Line 36: | Line 36: | ||
*Judd DB, Kim DH. Foot Fractures Frequently Misdiagnosed as Ankle Sprains. Am Fam Physician. 2002 Sep 1;66(5):785-795. | *Judd DB, Kim DH. Foot Fractures Frequently Misdiagnosed as Ankle Sprains. Am Fam Physician. 2002 Sep 1;66(5):785-795. | ||
[[Category: | [[Category:Orthopedics]] | ||
Revision as of 15:48, 22 March 2016
Background
- Almost always associated with other injuries, often misdiagnosed as ankle sprains
- Talar neck fx most common (~50%)
- Dorsiflexion with axial loading, snowboarders
- Talar body fx (~20%)
- Hindfoot in either supination or pronation, high energy trauma
- Lateral process fx (~10%)
- Dorsiflexion with axial loading
- Posterior process, medial or lateral tubercle very commonly misdiagnosed as ankle sprains
- Talar head fx least common
Diagnosis
- CT often required for accurate diagnosis
- AP, lateral, possibly Canale view
Differential Diagnosis
Foot and Toe Fracture Types
Hindfoot
Midfoot
Forefoot
Management
- Major fracture (talar neck and head)
- Immediate ortho consultation required (high rate of avascular necrosis)
- Minor fracture
- Posterior Ankle Splint
- Non-weight bearing, short leg cast if minimally displaced fracture
- Ortho referral
See Also
References
- Weatherford B. Talar neck fractures. Orthobullets, last updated 12/19/14. http://www.orthobullets.com/trauma/1048/talar-neck-fractures.
- Aiyer A, Moore D. Talus Fracture (other than neck), last updated 12/27/14. http://www.orthobullets.com/trauma/1049/talus-fracture-other-than-neck.
- Judd DB, Kim DH. Foot Fractures Frequently Misdiagnosed as Ankle Sprains. Am Fam Physician. 2002 Sep 1;66(5):785-795.