J Korean Orthop Assoc.  1989 Dec;24(6):1750-1753. 10.4055/jkoa.1989.24.6.1750.

Unusual Type of Talar Body Fracture: A Case Report

• Park YW
• Kim SJ

• KMID: 2445535
• DOI: http://doi.org/10.4055/jkoa.1989.24.6.1750

Abstract

Fractures of the body of the talus are extremely rare, constituting only about 0.1 percent of all fractures (Coltart 1952). Consequently, the prognostic problems have so far been elucidated only on the basis of few reports in the literature. The authors experienced an unusual type of the shearing fracture of the talar body with total disocation that the talar body was lying upside down in the ankle joint. Satisfactory results were obtained after follow up period of 20 months and some are reporting this case with bibliographic reviews.

Keyword

Fracture; Talar body

MeSH Terms

Ankle Joint
Deception
Follow-Up Studies
Talus

Figure

• 

  Fig. 1 Initial radiograph shows the shearing fracture of the talar body with total dislocation. Note that talar dome is lying upside down and medially, while the posterior subtalar facet is intact.

• 

  Fig. 2 The radiograph 4 weeks later demonstrates relatively increased density.

• 

  Fig. 3 The radiograph 8 weeks later, showing sclerosis of the body and no evidence of subchondral atrophy

• 

  Fig. 4 The radiograph 14 weeks later, showing fracture healing and more increased density compared to the surrounding bone which is viable and is undergoing disuse atrophy.

• 

  Fig. 5 6 months later, showing evidence of creeping substitution of avascular talar body.

• 

  Fig. 6 20 months later, showing more advanced creeping substituion without collapse of subchondral bone.

• 

  Fig. 7 Bone scanning with the use of a pin hole collimater shows diffusely increased uptake.

Reference

1. Canale S.T., Kelly F.B. Jr.Fractures of the neck of the talus. J. Bone and Joint Surg. 1978; 60A:143–156.

2. Coltart W.D.“Aviator’s Astragalus”. J. Bone and Joint Surg. 1952; 34B:545–566.

3. Dunn A.R., Jacobs B., Campbell R.D. Jr.Fractures of the talus. J. Trauma. 1966; 6:443–468.

4. Hawkins L.G.Fractures of the neck of the talus. J. Bone and Joint Surg. 1970; 52A:991–1002.

5. Kenwright J., Taylor R.G.Major injuries of the talus. J. Bone and Joint Surg. 1970; 52B:36–48.

6. Kleiger B.Fractures of the talus. J. Bone and Joint Surg. 1948; 30A:735–744.

7. Mckeever F.M.Treatment of complications of fractures and dislocations of the talus. Clin. Orthop. 1963; 30:45–52.

8. Mindel E.R., Cisek E.E., Kartalian G., Dziob J.M.Late results of injuries to the talus. J. Bone and Joint Surg. 1963; 45:221–245.

9. Pantazopoulos T., Galanos P., Vayanos E., Mitsou A., Hartofilakidis-Garofalidis G.Fractures of the neck of the talus, Acta Orthop. Scand. 1974; 45:296–306.

10. Pennal G.F.Fractures of the talus. Clin. Orthop. 1963; 30:53–63.

11. Sneppen O., Christensen S.B., Krogsoe O., Lorentzen J.Fracture of the body of the talus. Acta Orthop. Scand. 1977; 48:317–324.