The management and outcome of lateral process fracture of the talus

Associated lateral process and posteromedial tubercle talus fractures with entrapment of the medial neurovascular bundle: A case report

“…Other mechanisms related to the production of fractures of the posteromedial tubercle include the impingement of the sustentaculum tali over the posterior process of the talus, which occurs primarily during dorsiflexion with supination [8,22], direct trauma on the posteromedial facet [25], plantarflexion [15] and pure dorsiflexion [10]. According to recent studies, dorsiflexion of the ankle combined with hindfoot eversion [14,16] or inversion [21] is the dominant mechanism by which isolated fractures of the lateral process of the talus are produced. However, it is also possible that the production mechanism varies depending on whether the fractures of the posteromedial tubercle or the lateral process of the talus occur in isolation or together in a given patient.…”

“…A CT scan is necessary to define other fracture characteristics, such as its exact localization, size and displacement [11,15,18]. In addition, scanners can be useful in acute cases to exclude accessory ossicles or ostheophytes as possible false fractures [21] and to enable earlier diagnosis of such lesions that unfortunately are occasionally diagnosed late [16].…”

Lateral Hindfoot Impingement After Nonunion of Fracture of the Lateral Process of the Talus

“…Treatment with casting, open reduction internal fixation, or excision should be determined by the fracture type and timing of the diagnosis. A late diagnosis and nonaggressive management will lead to a significantly poorer outcome (2,3,5). Late complications have included nonunion, malunion, bony overgrowth, and subtalar osteoarthritis (2).…”

Double-talus sign?

“…With the tube tilted caudally 208 the talonavicular joint can be better visualized whilst the Broden view is useful to diagnose lateral process fractures and assess subtalar joint congruity. 1,3,6 In 1977, Sneppen et al classified talar body fractures into six types depending on the fracture pattern. 5 The second of these, type …”