Bipartite Talus: A Case Report

Thiel, Eric; Feibel, Jonathan B.; Chorey, Natalie; Gorsline, Robert

doi:10.3113/fai.2010.0552

Cited by 8 publications

(2 citation statements)

References 5 publications

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“…One article was added after screening literature lists on relevant papers. The included articles consisted of seven case reports [1, 3, 6, 15, 16, 18, 22], one case description in a dissertation [17] and four small case series [5, 9, 12, 13]. These articles reported on 23 patients, of whom one patient had a bilateral talus bipartitus.…”

Section: Resultsmentioning

confidence: 99%

Talus bipartitus: a systematic review and report of two cases with arthroscopic treatment

Zwiers

Leeuw

Kerkhoffs

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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Purpose The aim of this study was to provide a literature review on talus bipartitus and to introduce an arthroscopic treatment option.Methods A systematic review of published case reports and small case series was performed. Medline, Embase, CINAHL, Google Scholar and Web of Science databases were searched for relevant publications. In addition, three cases of talus bipartitus treated in our institute were discussed.ResultsEleven articles were identified, reporting on 23 patients, of whom one patient had a bilateral talus bipartitus. Fourteen were males (61%). The median age at presentation was 15.5 years (IQR 14–24.3). In 21 of the symptomatic cases (96%), the patient experienced ankle pain, and 13 had a restricted range of motion (54%). In our institution, two patients were treated arthroscopically and had excellent short- and long-term outcomes.ConclusionTalus bipartitus is a rare anatomical anomaly. Symptoms are characterized by pain and restricted subtalar motion in young patients. Surgical treatment is focused on either fixation or excision of the bony fragment. Our two cases have demonstrated that an arthroscopic approach can be a safe and effective treatment option in patients with a symptomatic talus bipartitus.Level of evidenceIV.

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Section: Resultsmentioning

confidence: 99%

Talus bipartitus: a systematic review and report of two cases with arthroscopic treatment

Zwiers

Leeuw

Kerkhoffs

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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“…The postinfectious link of talus bipartitus could also explain the rapid surge in the number of observed patients. Five cases were reported in the whole of the 20th century, but already twenty cases have been reported since 2000 (4,6,7,12,14,16,18). This surge could be explained by improvements in neonatal care leading to the survival of children with neonatal sepsis who would previously have died (as exemplified by Patient 1's sibling).…”

Section: Discussionmentioning

confidence: 99%

Talus Bipartitus Etiology - Is Neonatal Infection Involved?

Boszczyk¹,

Kołodziej²

2016

ACHOT

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Talus bipartitus is a rare skeletal variation. Several causative factors have been proposed, but none of them seem to be convincing. We hypothesize that talus bipartitus may result from ossification disruption in neonatal period caused possibly by an infection. The observations supporting this link are discussed. The hypothesis is supported by two cases with symptomatic talus bipartitus illustrating the postulated connection.

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