Can you fracture your talus and still walk?
A badly twisted ankle can also cause small pieces of the talus to break off. If the fracture doesn’t heal properly, you could have walking problems. So many talus fractures require surgery soon after the injury occurs to prevent problems later.
What is a Hawkins fracture?
Hawkins classification: Classification system for talar neck fractures. Classification system for vertical neck fractures of the talus, the commonest type of talus fracture. High energy injury usually associated with forced dorsiflexion and axial load. Associated with risk of avascular necrosis (AVN)
Can you dislocate your talus?
Complete dislocation of the talus not accompanied by a fracture is a very rare injury. Most cases reported are open talus dislocations; closed dislocations are rarely seen. The functional prognosis is poor due to osteonecrosis of the talus which develops in the majority of cases.
How long does it take to recover from a fractured talus?
Recovery. The recovery from a talus fracture can be lengthy because until the bone is healed, you cannot place weight on your foot. Therefore, most talus fractures require a minimum of six to 12 weeks of protection from weight-bearing. 8 In more significant injuries, the time may be longer.
How do you know if you fracture your talus?
Symptoms: Symptoms of a talar fracture include acute pain, and the inability to walk or weight bear on the foot, and severe swelling, bruising and tenderness. Location of pain and type of pain or discomfort can vary depending on the type of injury to the talus listed below.
Is a talus fracture serious?
Talus fractures are quite severe injuries and can lead to longstanding problems with the foot and ankle. There are early and late complications. Early complications most often are related to the significant swelling that can occur after these injuries, which can cause wound problems and infection.
What is distal fibula fracture?
Distal fibula fractures are the most common type at the ankle and are usually the result of an inversion injury with or without rotation. They are the extension of a lateral collateral ligament injury.
Is a dislocated ankle an emergency?
The emergency treatment is to reduce the dislocation as soon as possible and then splint the ankle to prevent further damage. Orthopedic or podiatric consultation is usually required since surgery may be required depending upon the patient’s situation. Arthritis is a common complication of ankle dislocation.
Can you pop a dislocated ankle back into place?
A dislocated ankle usually is very unstable. Your foot is gently pulled outward, but the joint does not pop back into place as a shoulder might. Your physician, with the aid of nurses, positions your foot in the ankle joint and holds it in place while a cast is applied.
What’s the worst bone to break in your foot?
The fifth metatarsal is the long bone on the outside of the foot that connects to the smallest toe. A Jones fracture is a common type of metatarsal fracture and is the most severe type of fracture that can occur in this bone.
What is the best treatment for a suspected fracture of the talus bone?
Surgical intervention is recommended for most displaced fractures of the talus. The goal of surgical intervention is to restore anatomic alignment of the talus and surrounding bones. Fixation is completed with screws or a plate and screw construct.
How are talar fractures divided by anatomic region?
Talar fractures are divided by anatomic region: head, neck, and body. Talar head fractures can be treated conservatively if nondisplaced, warranting careful radiographic and CT evaluation to assess rotation, displacement, and extension into the neck.
How is computed tomography used to diagnose talar fractures?
While initial evaluation is with foot and ankle radiographs, computed tomography (CT) is often performed to evaluate the extent of the fracture, displacement, comminution, intra-articular extension, and associated injuries. Talar fractures are divided by anatomic region: head, neck, and body.
Do you need to be a radiologist to treat a Talar dislocation?
Subtalar dislocations are often accompanied by fractures, necessitating postreduction CT. Familiarity with the unique talar anatomy and injury patterns is essential for radiologists to facilitate appropriate and timely management. After completing this journal-based SA-CME activity, participants will be able to:
Why do we use Hawkins Canale for talar fractures?
The modified Hawkins-Canale classification of talar neck fractures is most commonly used due to its simplicity, usefulness in guiding treatment, and prognostic value, as it correlates associated malalignment with risk of subsequent osteonecrosis. Isolated talar body fractures may be more common than previously thought.
