Types Of Talus Fractures



StructureEdit. Discuss outcomes of surgical care. We discuss Talus Fracture (aka Broken Foot) with simple language and useful pictures to help everyone understand this topic. A Maisonneuve fracture, for example, involves a complete disruption. Talus fractures were almost unheard of a hundred years ago. Surgery is almost always needed to repair a fracture talus, unless it is a very rare case wherein the foot needs only casting. Methods This study included 29 children with talus fractures sustained between 1999 and 2008 at an average age of 13. However, most people, depending on the type and severity of the fracture, are able to return to most work and recreational activities. Talar neck fractures result from forced dorsiflexion. account for 13-23% of talus fractures; lateral process fractures. or\ 2 of 2 2 Casting Undisplaced fractures are treated for 6-8 weeks in a non-weightbearing below-the-knee plaster cast. You'll come across an innocuous pile of rocks that suddenly comes to life and builds right before your eyes, and it will be labeled the Great Plateau Stone Talus. Fractures of the talus are relatively uncommon and typically result from high-energy trauma to the ankle. In 1970, Hawkins developed a classification of talus fractures, which provided guidelines for treatment as well as the prognosis of different fracture types 3. This classification has four types, which are differentiated by the degree of displacement. There are two general types of these fractures: One type is the proximal avulsion fracture. Leg fractures also may involve the knee joint, and treatment depends upon the type of fracture. Two major types of talus fractures are talar neck fractures and fracture of the talus other than the neck. It acts as a connection between the foot and the leg. Essex-Lopresti [2] believed that there were two types of fracture fragments that occurred with. The mean length of time between the trauma and the definitive treatment was six days,. Diagnosing fractures of the posterior process of the talus can be challenging, given its clinical and radiographic similarity to an ordinary ankle sprain. The most common type of foot fracture (excluding those of the toe) is the Dancer's fracture, which is discussed briefly in the Table outlining foot fractures, below. Compression fracture - impaction injuries with force through navicular to compress head. A talar fracture is a break in the continuity of one of the bones that forms the ankle; the talus. A broken ankle is most often caused by injury. Fractures can happen in different parts of the talus, each with varying pain symptoms and prognoses. It is used to treat a wide range of conditions including arthritis, flat feet, rheumatoid arthritis and previous injuries such as fractures caused by wear and tear to bones and cartilage. A stress fracture of the heel can either happen suddenly (with a fall, a hard landing, or a sudden blow to the foot), or after prolonged, repeated pressure on the foot. 3%, and they occur more commonly in younger patients. Type 1 - Chip fracture off tip of process. Know the types, classification, signs, symptoms, treatment, surgery, recovery of ankle joint fracture or broken ankle. The talus moves mainly in one direction. Foot (Talus Bone) Fracture. M ost fractures of the talus do require surgery to reset the bone and help minimize later complications. Extra-articular fractures account for 30% of all calcaneus fractures in adults. With an avulsion fracture, an injury to the bone occurs near where the bone attaches to a tendon or ligament. Severe talus fractures are most commonly caused by high-impact injuries from automobile accidents or falls from ladders. A broken ankle is most often caused by injury. Posterior impingement causes pain just in front and on either side of the Achilles tendon, and pain is increased with forced plantar flexion. The smaller fractures may also occur from accidents that involve twisting one's ankle. [14] The Angle of Gissane, or "Critical Angle", is the angle formed by the downward and upward slopes of the calcaneal superior surface. Other types of talus. The preoperative assessment includes planning the surgical approach,. 85 percent of all fractures. The most common type of foot fracture (excluding those of the toe) is the Dancer’s fracture, which is discussed briefly in the Table outlining foot fractures, below. The staff at Sheffield Northern General were fantastic - I had two operations, the first was to re-align the talus and the second to put a pin in my heel and had a horrible plaster (back slab) cast for two weeks. All of these factors enter into the treatment decision process. Sometimes, even hairline fractures of the talus never heal. Complications of Talus Fracture. The talus connects the top of the foot to the ankle and provides much of the joint's stability, range of motion, and weight-bearing ability. 2) Caffeine is a vaso-constrictor. There were no other apparent injuries except a non-displaced fracture of the fifth metatarsal head. Talar neck fractures = fractures in which the inferior fracture line passes anterior to the lateral process of the talus in the region of the tarsal sinus. Maisonneuve fracture. Fractures of the talus are uncommon, accounting for approximately 0. Read about Ankle Fractures. SUMMARY Thirteen patients with isolated fractures of the lateral process of the talus were reviewed. With this type of injury, a section of the talus surface may impact another part of the ankle joint (tibia or fibula). Talar fractures are an uncommon injury, accounting for <5% of all foot fractures. The proximal fifth metatarsal is the most common site of midfoot fracture. Introduction Foot and ankle impact injury is common in geriatric trauma and often leads to fracture of rearfoot, including calcaneus and talus. The ankle joint is made up of three bones: the lower end of the tibia (shinbone), the fibula (the small bone of the lower leg), and the talus, the bone that fits into the socket formed by the tibia and fibula. It is likely AVN will develop at a later stage after the injury. The development of AVN is related to the type of the fracture, and not the manner in which it is treated. Fractures of the proximal femur is a very important topic in the field of orthopedic surgery, but much of that attention is placed on fractures of the femoral neck and intertrochanteric areas. SMITH, MD, and BRUCE H. The relative infrequency of these injuries in part accounts for the lack of useful and objective data to guide treatment. 7 Fractures of the foot 7. This patient did well with open reduction and internal fixation of both fractures. Type 4 talar neck fractures are similar to type 3 neck fractures. Post-traumatic arthritis. Since that time, numerous advances have been made regarding surgical approaches and methods of fixation. 19 Other fracture of talus. Comparison of radiography and computed tomography to evaluate fractures of the canine tarsus. In one report the lesions were called fractures, in the other they were labeled osteochondritis dissecans. Different Types of Fractures of Talus Bone. Talus fractures are quite severe injuries and can lead to longstanding problems with the foot and ankle. Arthroereisis; Subtalar arthroereisis is used to assist treatment of the hyperpronated foot by stabilizing the subtalar joint. Talus fractures can vary in location, severity and type including stress fracture, displaced fracture, un-displaced fracture, comminuted fracture etc. During axial loading the talus is forced caudally into the cal-caneus, resulting in frequently observed fracture patterns. Disability via involvement articular surface - late TNJ arthritis - associated with subluxation / dislocation of transverse tarsal joints. for topic: Talus Fracture In Children. The most common traumatic fracture of the talus is a fracture of the talar. In general, fractures where the fractured bone has separated from its parent bone enough that it Penny JN, Davis LA: Fractures and fracture-dislocations of the neck of the talus. The ankle. For this to occur, the foot needs to be plantar flexed (the toes are pointing downward) when the injury occurs. Fractures of the talus are associated with significant morbidity in view of the blood supply, and these can be challenging for surgeons to manage. This type of fracture often comes about during a high-energy event, such as a car accident or a high-velocity fall. fracture of the talus bone, the most proximal bone of the hindfoot which serves as the bony link between the lower extremity and the foot 3,5; see Stress fractures of the foot and ankle for evaluation and management of stress fractures of the talus. (Meyers 1959) Type I fractures are nondisplaced or minimally displaced. Treatment for a talus fracture must begin immediately. Medial comma-shaped articular surface. Talus fractures comprise approximately 0. Clinically Relevant Physiology. As this happens, an impaction, crushing or shearing injury to the talus may occur. History and clinical examination in children may be challenging. The symptoms are similar to an ankle sprain, which is why it might initially be overlooked. General Information About Pain After A Fracture. 85 percent of all fractures [1]. Talus is important because it connect the leg with the foot and the hindfoot. least common talus fracture; Mechanism. It can be a pathological fracture caused by a disorder such as osteoporosis, or it can be a traumatic fracture caused by extensive external forces. The talus is a small bone that sits between the heel bone (calcaneus) and the two bones of the lower leg (the tibia and fibula). Introduction Ankle fracture is a common injury, with an annual incidence between 122 and 187 per 100 000 population. Author affiliations. Most of them are very small both in length and in cross section. In this type of break, the bone is moved only slightly out Displaced (unstable) fracture. A twisting injury. The talus bone, calcaneus, and navicular bone are considered the proximal row of tarsal bones. The talus has been referred to as "the universal joint of the foot" because of its multiple articulations. Symptoms Common symptoms of a talus fracture are pain when walking, tenderness on the top of the foot or front of the ankle, weakness of the foot, and swelling. Snowboarding is one of the most common reasons why people end up with this type of fracture in the first place. FIG 1 Talus Fracture. Occult fractures of the talus are extremely rare and very difficult to diagnose clinically. There can be fractures of the talar neck, the lateral process of the talus and the talar head. Trauma may cause injury or fracture to the back part of the talus. Hence it is difficult to define a clear fracture mechanism. Surgery is almost always needed to repair a fracture talus, unless it is a very rare case wherein the foot needs only casting. Talus caves are openings formed between boulders piled up on mountain slopes. Epidemiology. I did learn a lot about talus fractures, though. Fractures are quite common and an average person has at least two fractures during a lifetime. Hawkins Type I fractures have also been described in association with Salter Harris III fractures of distal tibia. Fractures of the posterior malleolus are generally found in association with bimalleolar ankle fractures—in which case the injury is called a trimalleolar ankle fracture. Fracture of the neck of talus. These fractures have the potential to be devastating, sometimes resulting in arthritis requiring future treatment. 2) Caffeine is a vaso-constrictor. Most occur as a result of high-energy trauma, such as motor vehicle accidents. While referring to Talus Bone Fracture Art. Based on promising early results with ACI in the knee, surgeons have now started using ACI for osteochondral lesions of the talus. 8 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 824. Larger rocks broken off by sediment are called scree or talus. A talus is a broken ankle bone. However, there are many cases of multiple fractures (talus with calcaneus or talus with medial/lateral malleolus) successfully treated with external fixation. erative note, w'as the same type that had been reported by Monro and Kappis. Fracture type of injury examination findings* Best plain anterior border of the talus Stage III or IV (see Table 3), or †— All of these fractures can have subtle findings on plain. 2 The most commonly used classification system for talar neck fractures is Hawkin’s Classification (Table 2). Talar fractures are an uncommon injury, accounting for <5% of all foot fractures. However, these fractures also may occur from twisting the ankle, which can result in small chips or fragments that are broken off the edges of the talus. Type IV with a medial fracture and a dorsal slab is the most common type of fracture. Foot (Talus Bone) Fracture. As a result, talus fractures are often accompanied by other injuries, including dislocation of adjacent joints and fracture of neighboring bones [ 3 ]. J Bone Joint Surg 60A:143-156, 1978. Talus fractures can also develop from sports that require footwear without proper ankle support, such as ice skating and snowboarding. Fractures of the talus are extremely rare in children. Talus Fractures. The patients usually have pain when trying to walk on the foot. The ankle joint is subjected to enormous forces across a relatively small surface area of contact, with up to 1. 27 and D) is No. This type of fracture often occurs during a high-energy event, such as a car collision or a high-velocity fall. The incidence of ankle fractures is approximately 187 fractures per 100,000 people each year [1]. Posterior impingement causes pain just in front and on either side of the Achilles tendon, and pain is increased with forced plantar flexion. This type of fracture often comes about during a high-energy event, such as a car accident or a high-velocity fall. However, overall injuries to the talus are relatively rare, and most surgeons have little experience in managing them. Hip fracture occurs each year in approximately 225,000 Americans over 50. Most series treated McCrory-Bladin type 1 fractures with splintage and partial weightbearing. History and clinical examination in children may be challenging. With further rotation, an oblique or spiral anterome-. A talus fracture occurs when there is a break in one of the bones that forms the ankle. Information on types of blocks • Naturally GA is also available to all procedures where patients refuse blocks. • Zengerink M et al. Fractures of the talus can be divided into types based on the 3 main anatomic divisions of the talus: body, neck, and head. A lateral malleolus fracture is a fracture involving only the fibula bone at or near the ankle. Type I is a simple fracture that extends from the articular surface of. inferior surface articulates with posterior facet of calcaneus; talar head articulates with navicular bone; sustenaculum tali; lateral process articulates with. Talus fractures comprise approximately 0. gov NCT01758835. The talus is the bone in the back of the foot that connects the leg and the foot. Each of the many bones of the lower extremity is at risk for fracture. These fractures can lead to an increased loss of motion. Where a fracture is non-displaced and small, it may be managed with cast immobilisation. the talus and isolates the part of the bone that forms the. 101 Unspecified fracture of right talus NON-BILLABLE. Which side of the talus the chip is on depends on how the ankle was twisted during the initial injury. Treatment Options Talus fractures may be treated in a cast, or surgery may be recommended. Chou has requested muscle relaxation (MR) for some cases and this should be clarified with discussion between the anesthesia team in the room and the surgeon. Timing of Definitive Fixation for Comminuted Talar Fractures in Patients with Multiple Injuries: A case report. You'll come across an innocuous pile of rocks that suddenly comes to life and builds right before your eyes, and it will be labeled the Great Plateau Stone Talus. Different Types of Bone Fractures. Fractures of the Lateral Process of the Talus: A Diagnostic Challenge A Tutorial for Optimizing Detection Julia Crim, MD Bradley Hale, MD University of Utah Lateral Process Talus Fractures • Fractures can be subtle and difficult to see on plain radiographs. Types of Calcaneal Fractures. Fractures of the tarsal bones account for only about 2% of all adult fractures and only half of tarsal fractures are calcaneus fractures. Type 3: Displaced fracture with body of talus dislocated from both subtalar and ankle joint Canale and Kelly 2) described a rare type 4 category which in addition to features described for type 3 there is dislocation or subluxation of the head of the talus at the talonavicular joint. Type I fractures do not involve articular surfaces. Arthroereisis; Subtalar arthroereisis is used to assist treatment of the hyperpronated foot by stabilizing the subtalar joint. A talar fracture is a break in the continuity of one of the bones that forms the ankle; the talus. The incidence of fractures in the talus ranges from 0. plural tali play \ˈtā-ˌlī\. Lateral malleolar fracture with deltoid injury OR bimalleolar OR trimalleolar fracture Bimalleolar fracture and right ankle dislocation on X-ray (anteroposterior). Treatment for a talus fracture must begin immediately. However, most people, depending on the type and severity of the fracture, are able to return to most work and recreational activities. Some scree slopes can be so large that soil and sediment can build up between the rocks, allowing trees and other vegetation to grow on the slope. Talus fractures, especially neck and body fractures, can be problematic due to the precarious blood supply of the talus and the risk of avascular necrosis (Egol et al. StructureEdit. Talar body fractures can be classified into cleavage, crush, tubercle, or process fractures (). common in slender, elderly women. We studied talus slopes and cliff faces at more than 20 locations in California, USA, where cliff retreat rates were previously measured by Moore et al. Ankle fractures are fractures that can involve the distal tibia, distal fibula, talus, and calcaneus. 1-3 Seventy per cent of ankle fractures are unimalleolar injuries and the Weber B type fibula fracture is by far the most common type of ankle. Talus fractures are often the result of high-energy injuries, such as a fall from a ladder or automobile accidents, resulting in the most severe type of injuries. Failure to diagnose and properly treat a fracture of the lateral process of the talus can result in long-term disability caused by subtalar arthrosis, mal-union, or nonunion. Management of a talus fracture. There is a high incidence of. The ankle joint is subjected to enormous forces across a relatively small surface area of contact, with up to 1. fractures, central metatarsal fractures (2-4 metatarsal), and 5th metatarsal fractures. , reported treatment outcomes of 23 LTP fractures from 1995 to 2001 with a mean follow-up of 3. Peroneal Tendonitis Treatment Las Vegas NV - Peroneal Tendonitis Treatment, Peroneal Tendon Injury Treatment and other procedures which are offered by Dr. 1 Talus fractures most commonly occur when a person falls from a height or sustains some other type of forced dorsiflexion injury to the. Fractures of the body of the talus most often fail to be reduced by closed means, in part because the talus has very little soft tissue attached, and one can not use ligamentotaxis as an aid in reduction. Talar neck fractures result from forced dorsiflexion. Talus Fracture Diagnosed and Treated at Mercy Medical Center At The Institute for Foot and Ankle Reconstruction at Mercy, our surgeons specialize in the diagnosis and treatment of foot injuries, including talus fractures. Talus fractures are quite severe injuries and can lead to longstanding problems with the foot and ankle. The posterior malleolus acts as a restraint against posterior translation of the talus, and fractures involving approximately 25% of the articular surface will result inposterior instability [9]. update on caitlin’s talus fracture April 24, 2015 caitlin01210 1 Comment So I haven’t really updated many people about my recovery because I get tired of repeatedly explaining myself, and partially because it is an emotional topic for me and I try not to get too worked up over it when possible. 3%, and they occur more commonly in younger patients. Pain is usually severe enough to require an emergency room visit. A stress fracture of the talus is causes an increasing amount of pain deep within the ankle joint over a period of weeks. Since 1932 two separate series ofreports osteocartilaginous lesions the dome of the talus were published. Different Types of Bone Fractures. Talus fractures comprise approximately 0. Open fractures are common. Hence it is difficult to define a clear fracture mechanism. Talus Fractures. Fracture type of injury examination findings* Best plain anterior border of the talus Stage III or IV (see Table 3), or †— All of these fractures can have subtle findings on plain. A Hawkins type I fracture is a nondisplaced fracture, without subluxation or dislocation. A Hawkins type I refers to a nondisplaced fracture of the talar neck. With further rotation, an oblique or spiral anterome-. ICD-9-CM 824. The lines for determining the critical angle of Gissane extend through the posterior talar articular surface (between the calcaneus and the talus) and angles at the point of the tarsal sinus over towards the highest point of the anterior surface for the cuboid bone. Risks and Complications. The main objective of this study was to determine the long-term functional impact of fractures of the body and neck of the talus treated surgically. Bones need blood flow to heal. Any time a bone moves out of its normal position, Open fracture. Talus fractures are serious and often require surgery. Severe talus fractures are most commonly caused by high-impact injuries from automobile accidents or falls from ladders. Minimally displaced fracture – the bone has slightly moved out of position. common in slender, elderly women. The major part of the talus is covered with cartilage and there is no muscle attachment to the talus. Information on types of blocks • Naturally GA is also available to all procedures where patients refuse blocks. Because the talus is important for ankle movement, a fracture often results in significant loss of motion and function. Fractures of the talus are uncommon. Treatment - This is an unstable fracture which requires internal. Discuss approaches to talus fractures. 85 percent of all fractures. Introduction Talar dislocation fractures of type IV (Marti and Weber) are extremely rare injuries with special challenges to the surgeon and poor results. Torg type II stress fracture of the metatarsal diaphysis at the characteristic location, just distal to the intermetatarsal joint. FRACTURE OF LATERAL PROCESS OF TALUS - treatment Type I fractures can be treated in a non weight-bearing cast for 6 weeks, unless they are displaced or involve a significant portion of the talar side of the posterior facet, in which case they should be treated by ORIF. Talus 60 % covered by articular cartilage No muscular attachments Blood supply limited to non articular surfaces More weight per unit of area is borne by the superior surface of the talus than by any other bone. The calcaneus connects with the talus and cuboid bones. Divided into three types ; May be displaced or non-displaced; Type 2 Fracture through the base of the process. Pain is the body's natural response when a bone breaks. Because the term "talus" incorporates the concept of a pile, many geologists prefer it to "talus pile" and reserve the term "talus slope" for. The other type is the Jones fracture, which is much less common but does not heal as well. Weber B type fracture. When the cartilage is injured, the normally smooth joint surface becomes uneven. Type 2 Excludes Crosswalk; Use Additional Crosswalk; Changes. Fractures of the talus (see the images below) can be divided into types based on the 3 main anatomic divisions of the talus: body, neck, and head. Injuries to the talus are fortunately uncommon. ICD-9-CM 824. The orthopaedic surgeon realigns the broken bone with metal screws placed inside the bone. Rock types included andesite, basalt, granodiorite and meta-sediment. Rotator cuff tear arthropathy. J Bone Joint Surg 60A:143-156, 1978. OBJECTIVE: To evaluate the intraobserver and interobserver reproducibility of Hawkins' classification for fractures of the neck of the talus. The ankle is where three bones meet -- the tibia and fibula of your lower leg with the talus of. The most common traumatic fracture of the talus is a fracture of the talar neck, which is classified into types I-IV by Hawkins on the basis of the degree of displacement. It may be associated with subtalar dislocation. For the meta Description: South Florida Institute of Sports Medicine providing excellence in Sports medicine, surgery, orthopedics, podiatry, and rehabilitation. reduction of type III fractures to provide. The purpose of the present retrospective study was to determine the clinical and radiographic outcomes after talus fractures in pediatric and adolescent patients and to define the differences among the different age groups in this population. Maisonneuve fracture. In terms of mechanics, however, the two major types of fractures are stress fractures and compression fractures. 85 percent of all fractures. History and clinical examination in children may be challenging. This fracture worsens with time if you keep walking on it, so non-weight bearing is very important. 27 and D) is No. Ankle fractures are increasingly common injuries that necessitate a careful approach for proper management. Some of these injuries are more severe or more difficult to treat than others. It was found that the type of fracture was the most important factor and that delay in treatment also affected the results adversely. 1 Fracture of talus NON-BILLABLE S92. Upper photos: Lateral radiographs show marked sclerosis of the talar dome and posterior body of the talus (white arrows) relative to the anterior body of the talus (yellow arrows). Hence it is difficult to define a clear fracture mechanism. They may be associated with dislocations of the Chopart's joint (transverse tarsal joint) and other fractures of the talus. Patient records and radiographs were reviewed to determine the mechanism of injury, fracture type, associated injuries, and treatment. It helps to explain how the talus is vital to the structure of your ankle and how the talus links other bones together. The Marti-Weber classification system is less-commonly used but is a more comprehensive classification system that incorporates nearly all types of talus fractures: type I fractures include talar head, process, and osteochondral fractures. Figure 1: Talus Anatomy (Talar Body, Neck, and Head) Imaging. • Younger A et al. The review of the CAT scan and x-rays allows the treating physician to make a determination as to the level of the fracture, whether it is a compression fracture, burst fracture or fracture dislocation, and to determine the amount of spinal canal compromise and spinal angulation. in a more varus position the fracture line is medialized [32,33]. Classification of talus fractures. Ankle Fractures and broken ankles are common. Type II fractures benefit from débridement of frature fragments Type III. 101 Unspecified fracture of right talus NON-BILLABLE. The main objective of this study was to determine the long-term functional impact of fractures of the body and neck of the talus treated surgically. With an avulsion fracture, an injury to the bone occurs near where the bone attaches to a tendon or ligament. of all ankle fractures. It may be associated with subtalar dislocation. Chip Fractures. Treatment Options Talus fractures may be treated in a cast, or surgery may be recommended. Minimally displaced or stable fractures: The fracture is barely out of place and the bones still line up almost accurately; surgery to fix the. Classifications of talus fractures Minimally displaced (stable) fracture. FRACTURES OF THE TALUS Q. The fractures of the neck of thc talus are generally divided into three groups of different sevcrity and prognosis, i. There can be fractures of the talar neck, the lateral process of the talus and the talar head. A stress fracture of the heel can either happen suddenly (with a fall, a hard landing, or a sudden blow to the foot), or after prolonged, repeated pressure on the foot. The smaller fractures may also occur from accidents that involve twisting one's ankle. Talar Body Fractures. displaced ankle fractures. A talus fracture is a break in one of the bones that forms the ankle. Lateral Malleolus Fractures (fibula only): Fractures of the fibula alone are the most common type of ankle fracture. A fracture of the talar body is a serious injury because the fracture involves the ankle joint. A Hawkins type I refers to a nondisplaced fracture of the talar neck. most common fracture of talus ( 50%) Mechanism a high-energy injury; is forced dorsiflexion with axial load; Associated conditions ipsilateral lower extremity fractures common; Anatomy: Articulation. Osteochondral Injury (Talar Dome). 13, B) is No. 28465 Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each 28485 Open treatment of metatarsal fracture, includes internal fixation, when performed, each 28505 Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed. ” In Abstract Book of Orthopaedica Belgica Congress, 60–61. , reported treatment outcomes of 23 LTP fractures from 1995 to 2001 with a mean follow-up of 3. Talus fracture is a break in the talus bone that forms the ankle. A talus fracture is a break in one of the bones that forms the ankle. Displaced fractures are associated with an exceedingly high rate of avascular necrosis (AVN). Since the mid. Type II is a talar neck fracture with mild. The latter occurs at the tip as a result of. 85 percent of all fractures [1]. Fractures of the talus are uncommon. If the fracture is caused by a stress fracture, over time, then symptoms may be far more vague. The talus is a small bone that sits between the heel bone (calcaneus) and the two bones of the lower leg (the tibia and fibula). indication typically in displaced fractures and certain types of talar fractures (e. The talus is one of the three bones involved in the ankle joint. This is the most severe type of fracture. Illinois Bone & Joint Institute, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. They typically occur following high-energy trauma , such as a fall from height or road traffic accident, during which the ankle is forced in to dorsiflexion ; this causes the talus to abut the tibial plafond, resulting in a fracture. Talus fractures are often the result of high-energy injuries. 1A-D Fractures of the neck of the talus based on the modified Hawkins classification are shown. There is a high incidence of. Disability via involvement articular surface - late TNJ arthritis - associated with subluxation / dislocation of transverse tarsal joints. One with a broken talus may not be able to walk for many months without crutches and will further wear a walking cast or boot of some kind after that. 1 that describes the diagnosis 'fracture of talus' in more detail. 19 Other fracture of talus. It can cause disabling injuries and if the subtalar joint is involved it is considered a severe fracture. for topic: Talus Fracture In Children. Most occur as a result of high-energy trauma, such as motor vehicle accidents. 154A - other international versions of ICD-10 S92.