eMedicine Specialties > Radiology > Musculoskeletal

Talus, Fractures: Follow-up

Author: Julia Crim, MD, Chief of Musculoskeletal Radiology, Professor, Department of Radiology, University of Utah
Contributor Information and Disclosures

Updated: Dec 30, 2008

Intervention

Medicolegal Pitfalls

  • Many talar fractures are subtle and easily missed; however, they can lead to long-term disability when there is a disruption of the subtalar or talonavicular joints. In a patient with a history of ankle injury, careful radiographic scrutiny should be given to the talar neck, head, and lateral process. The amount of joint involvement should be estimated because this is an important prognostic factor and influences treatment. CT scanning should be recommended if the radiologist is unsure of the extent of the fracture or to guide surgical intervention.4
 


More on Talus, Fractures

Overview: Talus, Fractures
Imaging: Talus, Fractures
Follow-up: Talus, Fractures
Multimedia: Talus, Fractures
References
Further Reading
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References

  1. Hawkins LG. Fractures of the neck of the talus. J Bone Joint Surg Am. Jul 1970;52(5):991-1002. [Medline].

  2. Hawkins LG. Fracture of the lateral process of the talus. J Bone Joint Surg Am. Sep 1965;47:1170-5. [Medline].

  3. Tezval M, Dumont C, Stürmer KM. Prognostic reliability of the Hawkins sign in fractures of the talus. J Orthop Trauma. Sep 2007;21(8):538-43. [Medline].

  4. Chan G, Sanders DW, Yuan X, Jenkinson RJ, Willits K. Clinical accuracy of imaging techniques for talar neck malunion. J Orthop Trauma. Jul 2008;22(6):415-8. [Medline].

  5. Haverstock BD. Foot and ankle imaging in the athlete. Clin Podiatr Med Surg. Apr 2008;25(2):249-62, vi-vii. [Medline].

  6. McCarthy CL, Wilson DJ, Coltman TP. Anterolateral ankle impingement: findings and diagnostic accuracy with ultrasound imaging. Skeletal Radiol. Mar 2008;37(3):209-16. [Medline].

  7. Thordarson DB, Kaku SK. Results of step-cut medial malleolar osteotomy. Foot Ankle Int. Dec 2006;27(12):1020-3. [Medline].

  8. De Smet AA, Fisher DR, Burnstein MI, et al. Value of MR imaging in staging osteochondral lesions of the talus (osteochondritis dissecans): results in 14 patients. AJR Am J Roentgenol. Mar 1990;154(3):555-8. [Medline]. [Full Text].

  9. Yulish BS, Mulopulos GP, Goodfellow DB. MR imaging of osteochondral lesions of talus. J Comput Assist Tomogr. Mar-Apr 1987;11(2):296-301. [Medline].

  10. Loomer R, Fisher C, Lloyd-Smith R. Osteochondral lesions of the talus. Am J Sports Med. Jan-Feb 1993;21(1):13-9. [Medline].

  11. von Knoch F, Reckord U, von Knoch M, et al. Fracture of the lateral process of the talus in snowboarders. J Bone Joint Surg Br. Jun 2007;89(6):772-7. [Medline].

  12. Sanders TG, Ptaszek AJ, Morrison WB. Fracture of the lateral process of the talus: appearance at MR imaging and clinical significance. Skeletal Radiol. Apr 1999;28(4):236-9. [Medline].

  13. Daniels TR, Smith JW. Talar neck fractures. Foot Ankle. May 1993;14(4):225-34. [Medline].

  14. Ebraheim NA, Karkare N, Gehling DJ, et al. Use of a 30-degree external rotation view for posteromedial tubercle fractures of the talus. J Orthop Trauma. Sep 2007;21(8):579-82. [Medline].

  15. He F, Huang H, Deng YM, Wang B, Zhang CQ, Zhao Z, et al. Application of spiral CT image 3D reconstruction in severe talar neck fracture. Chin J Traumatol. Feb 2007;10(1):18-22. [Medline].

  16. Elias I, Zoga AC, Raikin SM, Peterson JR, Besser MP, Morrison WB, et al. Bone stress injury of the ankle in professional ballet dancers seen on MRI. BMC Musculoskelet Disord. Mar 28 2008;9:39. [Medline].

  17. Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. Sep 1959;41-A:988-1020. [Medline].

  18. Cantrell MW, Tarquinio TA. Fracture of the lateral process of the talus. Orthopedics. Jan 2000;23(1):55-8. [Medline].

  19. Crim JR, Cracchiolo A, Hall RL. Injuries of the foot. Imaging Foot Ankle. 1996;54-64.

  20. Dipaola JD, Nelson DW, Colville MR. Characterizing osteochondral lesions by magnetic resonance imaging. Arthroscopy. 1991;7(1):101-4. [Medline].

  21. Higgins TF, Baumgaertner MR. Diagnosis and treatment of fractures of the talus: a comprehensive review of the literature. Foot Ankle Int. Sep 1999;20(9):595-605. [Medline].

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Keywords

talus fracture, astragalus fracture, talar neck fracture, talar body fracture, talar head fracture, osteochondral fracture of the talar dome, transchondral fracture of the talar dome, osteochondritis dissecans

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Contributor Information and Disclosures

Author

Julia Crim, MD, Chief of Musculoskeletal Radiology, Professor, Department of Radiology, University of Utah
Julia Crim, MD is a member of the following medical societies: Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

Amilcare Gentili, MD, Clinical Professor of Radiology, University of California at San Diego; Consulting Staff, Department of Radiology, Thornton Hospital
Amilcare Gentili, MD is a member of the following medical societies: American Roentgen Ray Society, Radiological Society of North America, and Society of Skeletal Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Theodore E Keats, MD, Professor, Departments of Radiology and Orthopedics, University of Virginia School of Medicine
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Felix S Chew, MD, MBA, EdM is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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