Talus fracture in a 4-year-old child

Michel-Traverso, Aurélien; Ngo, Trieu Hoai Nam; Bruyère, Clémence; Saglini, Marco

doi:10.1136/bcr-2016-215063

Cited by 6 publications

(3 citation statements)

References 6 publications

(6 reference statements)

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“…In the case presented in this article, due to the type of fracture and prompt treatment, there were no complications such as avascular necrosis or other sequelae. As Aurélien Michel-Traverso, et al suggests, the physician should obtain all imaging studies necessary before arriving at a diagnosis [ 17 ]. In the literature there are several injury mechanisms described for a talus or astragalus fracture; a frequent one is reported in the article of Kamphuis SJ, et al [ 18 ], where the cases presented are of different patients with dorsiflexion of the foot causing talus fracture.…”

Section: Discussionmentioning

confidence: 99%

Fracture of the astragalus in pediatric patients, an unusual entity

Remba¹,

Amiga²,

Aragon

et al. 2021

International Journal of Surgery Case Reports

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Highlights The poor blood supply of the astragalus increases the risk of avascular necrosis. The astragalus is composed mainly of cartilage, which reduces the risk of fracture. It is important to keep this fracture in mind in injuries that could compromise the astragalus. The physician needs to know the differential diagnoses to get the right diagnosis nd to administer the correct treatment.

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Section: Discussionmentioning

confidence: 99%

Fracture of the astragalus in pediatric patients, an unusual entity

Remba¹,

Amiga²,

Aragon

et al. 2021

International Journal of Surgery Case Reports

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“…Conservative management by applying a cast is the treatment of choice for non displaced or minimally displaced fractures of talus neck but these cases need a long term follow up. 3 The diagnosis and treatment of talus neck fractures is always surrounded by controversies. Baumhauer et al stated that these controversies are there because of the rare incidence of these fractures and because of the sparse data we have on the clinical based research in treatment outcomes.…”

Section: Case Reportmentioning

confidence: 99%

Unusual case of talus neck fracture in a paediatric patient

Kumar

Yarky

2018

Int J Res Orthop

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Surgery:Patient underwent closed reduction and internal fixation with K wire. Post op ankle and foot radiographs showed fixation of fracture neck talus done with closed pinning using 3 K wires as shown in figures (b). Prognosis:A child's bones heal faster than an adult's because a thicker, stronger, and more active dense fibrous membrane (periosteum) covers the surface of their bones. ABSTRACTTalus fracture is a rare injury in a paediatric patient. Among talus fractures, the fracture of neck of talus is more common than fracture of body of talus. This can occur because of axial loading of the talus in a dorsiflexed foot against the anterior tibia. Children's bones are skeletally immature and hence less brittle. They have higher elastic resistance than adult bone and are less likely to fracture. However talus fractures can still occur in paediatric patients when there is history of high-energy trauma. It needs surgery and can be associated with complications like avascular necrosis, delayed union, neuropraxia and may need a revision surgery. Here we present an unusual case of a talar neck fracture in a young boy, which was a closed fracture without distal neurovascular deficit. Closed reduction and internal fixation was done with K wire and post op X-rays and follow up X-rays showed complete union. Patient has normal joint mobility and strength after a period of 1 year follow up.

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“…Talus fracture injuries are rare and most literature pertains to fractures in skeletally mature adults [ 1 ]. The injury may be less common in children due to the cartilaginous nature of the talus in children, and thus, the incidence of pediatric talus fractures is approximately a fifth of the adult fracture rate [ 2 ]. Most talus fractures occur in the talar neck, with only 13–23% of them occurring in the body of the talus [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Open Reduction and Internal Fixation of a Pediatric Talar Body Fracture using a Medial Malleolar Osteotomy – A Case Report

English¹,

Merriman²,

Austin³

et al. 2021

JOCR

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Introduction:Talus fracture injuries are rare and most literature pertains to fractures in skeletally mature adults. It is unusual for pediatric talus fractures to be treated operatively and is normally treated with immobilization. The location of the talus fracture required a medial malleolar osteotomy to facilitate exposure and reduction, which was fixed with temporary smooth K-wires. The authors were unable to identify a previous description of this technique in the literature. Case Report:An 11-year-old female was referred to our hospital due to polytraumatic injuries sustained in a roll-over MVC. A displaced fracture of the talus body was present. Due to the fracture location, a medial malleolar osteotomy was required for exposure. An open reduction and internal fixation was performed using subchondral minifragment screws under general anesthesia. The patient healed uneventfully, regained a normal gait and full, pain-free range of motion. Conclusions:Medial malleolar osteotomy with smooth K-wire fixation appears to be a safe method for gaining access to the talus when required for reduction and/or fixation of pediatric talus fractures. Keywords:Adolescent, talus fracture, osteotomy.

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Talus fracture in a 4-year-old child

Abstract: Fracture of the talus is uncommon in childhood. We report a case of talar neck fracture that occurred in a 4-year-old girl. We present the radiological findings, the orthopaedic follow-up and the clinical outcome.

Cited by 6 publications

References 6 publications

Fracture of the astragalus in pediatric patients, an unusual entity

Fracture of the astragalus in pediatric patients, an unusual entity

Unusual case of talus neck fracture in a paediatric patient

Open Reduction and Internal Fixation of a Pediatric Talar Body Fracture using a Medial Malleolar Osteotomy – A Case Report

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