Dome Fracture of the Talus

Mukherjee, Sadhan Kumar; Young, Andrew

doi:10.1302/0301-620x.55b2.319

Cited by 67 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A similar mechanism with regard to talar fracture exists in the literature regarding long falls with regard to the so called "dome fracture". (Mukherjee and Young, 1973) The load could then be passed largely to the sustentaculum which may fail allowing for the full fracture complex to develop. Such a path would also potentially explain why both in this series and in the long fall case described by Buschmann and Tsokos (2011), penetration of the fractured bone through the soles of the feet was noted to be on the medial aspect of foot in cases where such details were noted.…”

Section: Potential Biomechanics Of the Fracture Complexmentioning

confidence: 99%

Series of Nine Cases of Axial Displacement of Distal Tibial and/or Fibular Shafts from Aircraft Crashes with Proposal of Potential Mechanisms

Richey¹,

Richeý²

2015

Scandinavian Journal of Forensic Science

View full text Add to dashboard Cite

Previously, a pair of aircraft crash fatalities was reported by Byard and Tsokos involving extreme trauma to the lower legs with avulsion of the musculature and extrusion of the distal tibial shaft through the inferior aspect of the feet and shoes. This report was important to both the forensics and the injury prevention fields because it demonstrates a finding that may help to indicate not only the severity and nature/direction of an impact but also the position of the extremities at the time of collision with the terrain. Thus, here are reported an additional nine cases out of a larger series of 1182 aircraft fatalities (0.7%) with similar findings and discuss the biomechanical origins of such injuries.

show abstract

Section: Potential Biomechanics Of the Fracture Complexmentioning

confidence: 99%

Series of Nine Cases of Axial Displacement of Distal Tibial and/or Fibular Shafts from Aircraft Crashes with Proposal of Potential Mechanisms

Richey¹,

Richeý²

2015

Scandinavian Journal of Forensic Science

View full text Add to dashboard Cite

show abstract

“…(1922). Since that time the importance of trauma as an aetiological factor was stressed and appreciated (Mukherjee and Young, 1973;Rendu, 1932;Roden et al, 1953;Yvars, 1976). It was not before the clinical and experimental observation of Berndt and Harty (1959) that the aetiology, classification and natural history of the lesion were fully understood.…”

Section: Case Nomentioning

confidence: 99%

“…Lesions of a more severe degree present persistent symptoms of pain and instability of the ankle (Alexander and Lictman, 1980;Mukherjee and Young, 1973). When untreated the chondral fracture becomes a loose fragment which destroys the articular cartilage and originates in early degenerative arthritis (Smith et al, 1977).…”

Section: Case Nomentioning

confidence: 99%

Traumatic osteochondral lesions of the talus.

Israeli¹,

Ganel²,

Horoszowski³

et al. 1981

Br J Sports Med

View full text Add to dashboard Cite

“…Osteochondral lesions of the talus (OLT) are a relatively common cause of chronic post traumatic ankle pain that can pose a diagnostic and management challenge. Many current studies are based on plain X-rays 2,4,11,12,13 and include all types of lesions. It is now clear that plain X-ray is inadequate when assessing OLT.…”

Section: Introductionmentioning

confidence: 99%

Nonoperatively Managed Stage 5 Osteochondral Talar Lesions

Shearer¹,

Loomer²,

Clement³

2002

Foot Ankle Int.

View full text Add to dashboard Cite

Thirty-five ankles in 34 subjects with non-surgically managed stage 5 (chronic) osteochondral lesions of the talus (OlT) were reassessed an average of 38 months post diagnosis-88 months post symptom onset. The overall clinical result was rated good or excellent in 54%, fair In 17% and poor in 29%. Six patients opted for surgeryarthroscopic drilling-after a trial of one year of nonsurgical treatment and were therefore rated as poor. Tomogram or CT scans at the time of diagnosis and follow-up were compared in 25 patients. We found no significant change in lesion size and there was a poor correlation between change in lesion size and clinical outcome. X-rays performed at fOllow-up on 20 patients showed mild degenerative changes in 13 of 20 ankles with OlT. No correlation was found between the presence of degenerative changes and the clinical outcome. We conclude that: 1. Non-surgical management of stage 5 OlT is a viable option with little or no risk of developing significant osteoarthritis. 2. Most lesions remain radiographically stable. 3. There is a poor correlation between changes in lesion size and clinical outcome. However, the few patients with lesions which decrease significantly in size tend to do well and those with lesions which increase significantly in size do poorly. 4. The development of mild radiographic changes of OA does not correlate with clinical outcome. 5. The general course of stage 5 OlT is benign with over half of the patients improving to good or excellent results with non-surgical management. 6. lateral lesions tend to do better than medial ones. 7. Adult onset lesions tend to do better than juvenile onset lesions.

show abstract

Dome Fracture of the Talus

Cited by 67 publications

References 8 publications

Series of Nine Cases of Axial Displacement of Distal Tibial and/or Fibular Shafts from Aircraft Crashes with Proposal of Potential Mechanisms

Series of Nine Cases of Axial Displacement of Distal Tibial and/or Fibular Shafts from Aircraft Crashes with Proposal of Potential Mechanisms

Traumatic osteochondral lesions of the talus.

Nonoperatively Managed Stage 5 Osteochondral Talar Lesions

Contact Info

Product

Resources

About