Fatigue Stress Fracture of the Talar Body: An Uncommon Cause of Ankle Pain

Kim, Young Sung; Lee, Ho Min; Kim, Jong Pil; Moon, Han Sol

doi:10.1053/j.jfas.2016.01.042

Cited by 8 publications

(3 citation statements)

References 13 publications

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“…56 Because talar stress fractures are high-risk fractures but are usually occult on radiography, MR imaging is indicated in case of suspicion. 57 Calcaneus BSI of the calcaneus is caused by an imbalance between an eccentric posterior pull of the Achilles tendon during heel strike and the plantar fascia pulling plantarly. 58 Poorly cushioned footwear and training on hard surfaces may increase the risk.…”

Section: Talusmentioning

confidence: 99%

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Bone Stress Injuries at the Ankle and Foot

Jungmann

Schaeffeler

2023

Semin Musculoskelet Radiol

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Bone stress injuries (BSIs) are a frequent finding in athletes, particularly of the foot and ankle. A BSI is caused by recurring microtrauma to the cortical or trabecular bone exceeding the repair capacity of normal bone. The most frequent fractures at the ankle are low risk, characterized by a low risk for nonunion. These include the posteromedial tibia, the calcaneus, and the metatarsal diaphysis. High-risk stress fractures have a higher risk for nonunion and need more aggressive treatment. Examples are the medial malleolus, navicular bone, and the base of the second and fifth metatarsal bone.Imaging features depend on the primary involvement of cortical versus trabecular bone. Conventional radiographs may remain normal up to 2 to 3 weeks. For cortical bone, early signs of BSIs are a periosteal reaction or the “gray cortex sign,” followed by cortical thickening and fracture line depiction. In trabecular bone, a sclerotic dense line may be seen. Magnetic resonance imaging enables early detection of BSIs and can differentiate between a stress reaction and a fracture. We review typical anamnestic/clinical findings, epidemiology and risk factors, imaging characteristics, and findings at typical locations of BSIs at the foot and ankle that may help guide treatment strategy and patient recovery.

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Section: Talusmentioning

confidence: 99%

“…56 Because talar stress fractures are high-risk fractures but are usually occult on radiography, MR imaging is indicated in case of suspicion. 57…”

Section: Specific and Frequent Stress Fractures At The Foot And Anklementioning

confidence: 99%

Bone Stress Injuries at the Ankle and Foot

Jungmann

Schaeffeler

2023

Semin Musculoskelet Radiol

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“…The present case demonstrated a sagittal shearing fracture according to Sneppen et al's talar fracture classification, which runs through the body of the talus from the trochlea to the subtalar joint [ 14 ]. Shearing fractures are rarely reported stress fractures in previous studies, including three cases in elite female gymnasts aged 15–17 years by Rossi and Dragoni and one case in a 32-year-old social soccer player by Kim et al [ 15 , 16 ]. Considering that the most common mechanism of injury resulting in a shearing-type traumatic talar body fracture is an axial loading injury to the talus [ 17 ], we considered that the repeated axial cyclic loads to the talus produced by pes planovalgus deformity played a role in the pathology of the rare fracture pattern in the present case.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Stress Fractures of the Talus Associated with Adult-Acquired Flatfoot Deformities

Matsumoto

Chang

Takeda

et al. 2018

Case Reports in Orthopedics

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Adult-acquired flatfoot deformity is a progressive flattening of the arch of the foot that results from posterior tibial tendon insufficiency with a predilection for middle-aged women. A lateralized force vector associated with hindfoot valgus in adult-acquired flatfoot produces lateral ankle pain due to impingement at the lateral hindfoot, which can even lead to stress fractures of the distal fibula. Here, we present the rare case of a 73-year-old woman who presented with stress fractures of the bilateral taluses and unilateral distal fibula accompanied by severe adult-acquired flatfoot deformities.

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Common Stress Fractures Around the Foot and Ankle

Zambelli

Mansur

2022

Foot and Ankle Disorders

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Fatigue Stress Fracture of the Talar Body: An Uncommon Cause of Ankle Pain

Cited by 8 publications

References 13 publications

Bone Stress Injuries at the Ankle and Foot

Bone Stress Injuries at the Ankle and Foot

Bilateral Stress Fractures of the Talus Associated with Adult-Acquired Flatfoot Deformities

Common Stress Fractures Around the Foot and Ankle

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