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Abstract

Fractures of the talus are uncommon, counting for only about three thousandths of all fractures and 3% regarding the foot skeleton.1 Within this small entity, 10–15% peripheral talar fractures occur. Yet they are of major importance because of the frequency of complications and the resulting long-term disability when initial treatment is delayed or improper.2 Timely diagnosis and early treatment as well as minimally invasive techniques have improved the overall results. Still these injuries represent a demanding challenge concerning proper diagnosis, decision making, and surgical approach even for the experienced foot surgeon dealing with trauma cases.3,4

Keywords

Subtalar Joint Soft Tissue Envelope Talar Dome Talar Body Talar Neck 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Zwipp H. In: Zwipp H, ed. Talus-Frakturen. In: Chirurgie des Fußes. Wien, New York: Springer; 1994:86-99.Google Scholar
  2. 2.
    Thermann H, Ansar M, Tscherne H. Process fractures. A diagnostic problem in ankle injuries. Orthopade. 1999;28(6):518-528.PubMedGoogle Scholar
  3. 3.
    McCrory P, Bladin C. Fractures of the lateral process of the talus: a clinical review. “Snowboarder’s ankle”. Clin J Sport Med. 1996;6(2):124-128.PubMedCrossRefGoogle Scholar
  4. 4.
    Nyska M, Howard CB, Matan Y, et al. Fracture of the ­posterior body of the talus – the hidden fracture. Arch Orthop Trauma Surg. 1998;117(1–2):114-117.PubMedCrossRefGoogle Scholar
  5. 5.
    Bladin C, McCrory P. Snowboarding injuries. Sports Med. 1995;19(5):358-364.PubMedCrossRefGoogle Scholar
  6. 6.
    Ebraheim NA, Skie MC, Podeszwa DA, et al. Evaluation of process fractures of the talus using computed tomography. J Orthop Trauma. 1994;8(4):332-337.PubMedCrossRefGoogle Scholar
  7. 7.
    Hawkins LG. Fractures of the lateral process of the talus. J Bone Joint Surg Am. 1965;47:1170-1175.PubMedGoogle Scholar
  8. 8.
    Kirkpatrick DP, Hunter RE, Janes PC, et al. The snowboarder’s foot and ankle. Am J Sports Med. 1998;26(2):271-277.PubMedGoogle Scholar
  9. 9.
    Mills HJ, Horne G. Fractures of the lateral process of the talus. Aust N Z J Surg. 1987;57(9):643-646.PubMedCrossRefGoogle Scholar
  10. 10.
    Mukherjee SK, Pringle RM, Baxter AD. Fracture of the ­lateral process of the talus. A report of thirteen cases. J Bone Joint Surg Br. 1974;56(2):263-273.PubMedGoogle Scholar
  11. 11.
    Paulos L, Johnson C, Noyes F. Posterior compartment ­fractures of the ankle. A commonly missed athletic injury. Am J Sports Med. 1983;11(6):439-443.PubMedCrossRefGoogle Scholar
  12. 12.
    Tucker DJ, Feder JM, Boylan JP. Fractures of the lateral ­process of the talus: two case reports and a comprehensive literature review. Foot Ankle Int. 1998;19(9):641-646.PubMedGoogle Scholar
  13. 13.
    Judd DB, Kim DH. Foot fractures frequently misdiagnosed as ankle sprains. Am Fam Physician. 2002;66(5):785-794.PubMedGoogle Scholar
  14. 14.
    Heckman JD, McLean MR. Fractures of the lateral process of the talus. Clin Orthop Relat Res. 1985;199:108-113.PubMedGoogle Scholar
  15. 15.
    Higgins TF, Baumgaertner MR. Diagnosis and treatment of fractures of the talus: a comprehensive review of the literature. Foot Ankle Int. 1999;20(9):595-605.PubMedGoogle Scholar
  16. 16.
    Boack DH, Manegold S, Haas NP. Treatment strategy for talus fractures. Unfallchirurg. 2004;107:499-514.PubMedGoogle Scholar
  17. 17.
    Ebraheim NA, Padanilam TG, Wong FY. Posteromedial fractures of the talus. Foot Ankle Int. 1995;16(11):734-739.PubMedGoogle Scholar
  18. 18.
    Noble J, Royle SG. Fracture of the lateral process of the talus: computed tomographic scan diagnosis. Br J Sports Med. 1992;26(4):245-246.PubMedCrossRefGoogle Scholar
  19. 19.
    Boack DH, Manegold S. Peripheral talar fractures. Injury. 2004;35:23-35.CrossRefGoogle Scholar
  20. 20.
    Marti R. Talusfrakturen. Z Unfallmed Berufskr. 1971;64:108 ff.Google Scholar
  21. 21.
    Hawkins LG. Fractures of the neck of the talus. J Bone Joint Surg Am. 1970;52:991-1002.PubMedGoogle Scholar
  22. 22.
    Canale ST, Kelly FB Jr. Fractures of the neck of the talus. Long-term evaluation of seventy-one cases. J Bone Joint Surg Am. 1978;60:143-156.PubMedGoogle Scholar
  23. 23.
    Sneppen O, Christensen SB, Krogsoe O, Loremtzen J. Fracture of the body of the talus. Acta Orthop Scand. 1977;48:317-324.PubMedCrossRefGoogle Scholar
  24. 24.
    Berndt AL, Harty M. Transchondral fractures of the talus. J Bone Joint Surg Am. 1959;41:988-1020.PubMedGoogle Scholar
  25. 25.
    Thodarson DB. Talar body fractures. Orthop Clin North Am. 2001;32(1):65-77.CrossRefGoogle Scholar
  26. 26.
    DeLee JC. Fractures and fracture-dislocations of the foot. Fractures of the calcaneus. In: Mann RA, Coughlin JC, eds. Surgery of the Foot and Ankle. 6th ed. St. Louis: Mosby; 1993:1476-1539.Google Scholar
  27. 27.
    Naranja RJ Jr, Monaghan BA, Okereke E, et al. Open medial subtalar dislocation associated with fracture of the posterior process of the talus. J Orthop Trauma. 1996;10(2):142-144.PubMedCrossRefGoogle Scholar
  28. 28.
    Tucker DJ, Burian G, Boylan JP. Lateral subtalar dislocation: review of the literature and case presentation. J Foot Ankle Surg. 1998;37(3):239-247.PubMedCrossRefGoogle Scholar
  29. 29.
    Sanders TG, Ptaszek AJ, Morrison WB. Fracture of the ­lateral process of the talus: appearance at MR imaging and clinical significance. Skeletal Radiol. 1999;28(49):236-239.PubMedCrossRefGoogle Scholar
  30. 30.
    Boack DH, Manegold S, Haas NP. Surgical technique for talus fractures. Tips and tricks. Unfallchirurg. 2004;107:515-520.PubMedGoogle Scholar
  31. 31.
    Berlet GC, Lee TH, Massa EG. Talar neck fractures. Orthop Clin North Am. 2001;32:53-64.PubMedCrossRefGoogle Scholar
  32. 32.
    Baumhauer JF, Alvarez RG. Controversies in treating talus fractures. Orthop Clin North Am. 1995;26:335-351.PubMedGoogle Scholar
  33. 33.
    Kettunen J, Waris P, Hermunen H, et al. Fracture of the ­lateral talus process. A case report. Acta Orthop Scand. 1992;63(3):356-357.PubMedCrossRefGoogle Scholar
  34. 34.
    Nadim Y, Tosic A, Ebraheim N. Open reduction and internal fixation of fracture of the posterior process of the talus: a case report and review of the literature. Foot Ankle Int. 1999;20(1):50-52.PubMedGoogle Scholar
  35. 35.
    Bohay DR, Manoli A II. Occult fractures following subtalar joint injuries. Foot Ankle Int. 1996;17(3):164-169.PubMedGoogle Scholar
  36. 36.
    Christensen S, Lorentzen J, Krogsoe O, et al. Subtalar dislocation. Acta Orthop Scand. 1977;48(6):707-711.PubMedCrossRefGoogle Scholar
  37. 37.
    Kuner EH, Lindenmaier HL. Zur Behandlung der Talusfraktur. Kontrollstudie von 262 Behandlungsfällen. Unfallchirurgie. 1983;9:35-40.PubMedGoogle Scholar
  38. 38.
    Schulze W, Richter J, Russe O, Ingelfinger P, Muhr G. Surgical treatment of talus fractures. Acta Orthop Scand. 2002;73:344-351.PubMedCrossRefGoogle Scholar
  39. 39.
    Lutz M, Golser K, Sperner G, Gabl M, Wambacher M, Sailer R. Die posttraumatische Durchblutungsstörung des Talus. Ist die Talusnekrose obligat? Unfallchirurg. 1998;101:461-467.PubMedCrossRefGoogle Scholar
  40. 40.
    Beck E. Die Talusfraktur. Orthopade. 1991;20:33-42.PubMedGoogle Scholar
  41. 41.
    Zwipp H, Rammelt S. Posttraumatische Korrekturopera­tionen am Fuß. Zentralbl Chir. 2003;128:218-226.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  1. 1.Chirurgische PraxisBad SchwartauGermany

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