Lateral Talar Process Fracture and Peroneal Tendon Dislocation: A Previously Unrecognized Injury Complex

Klein, Sandra E.; Varner, Kevin E.; Marymont, John V.

doi:10.3113/fai.2008.1020

Cited by 15 publications

(19 citation statements)

References 18 publications

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“…2,4,5 The LPT plays an important role in the hinge and rotary motions of the subtalar and talocrural joints. 10 Three of the lateral ankle stabilizing ligaments attach to the lateral talar process.…”

Section: Discussionmentioning

confidence: 99%

“…10 Three of the lateral ankle stabilizing ligaments attach to the lateral talar process. 2,9,15 The lateral talocalcaneal ligament originates in its entirety from the anterior inferior apex of the LPT. Portions of the anterior and posterior talofibular ligaments insert on each side, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…4,10,16 Although the cause of injury is most frequently due to snowboarding-associated trauma, this pathology has also been described in motor vehicle accidents and falls from heights. 1,2,5,16 Diagnosis of LPT fractures can most commonly be made via radiographic examination. The fracture is normally best visualized on the lateral ankle projection.…”

Section: Discussionmentioning

confidence: 99%

“…Dislocation of the peroneal tendons has been demonstrated in up to 46% of these injuries. 2 In contrast, these fractures are rarely associated with primary ligamentous damage, as the articular anatomy normally provides a primary restraint to external rotation forces combined with inversion and axial loading. 7 Three classification systems have been described to characterize snowboarder's fractures: Hawkins,16 McCrory-Bladin, 10 and Funk et al 1 ( Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…5 Seventy-one percent of patients with isolated LPT fractures report return to full activity. 2 Long-term sequela of snowboarder's fractures may include nonunion, malunion, and subtalar osteoarthritis.…”

Section: Discussionmentioning

confidence: 99%

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Snowboarder's fracture caused by a wakeboarding injury: a case report

Mussmann

Poirier

2010

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe the clinical presentation of a patient who had a lateral talar process fracture due to a wakeboarding injury. Clinical Features: A 29-year-old male patient sustained a left ankle injury when the front edge of his wakeboard became immersed in the water. As he fell forward, his foot remained attached to the board, leading to inversion and dorsiflexion stress of the ankle. He presented to a chiropractic clinic with diffuse ankle swelling, tenderness, and pain at the distal aspect of the lateral malleolus. Mild ligamentous laxity of the lateral supporting structures was observed during the physical examination. Intervention and Outcome: Static and stress radiographs of the left ankle demonstrated a small (McCrory-Bladin type 1) lateral talar process fracture without evidence of gross instability. The patient was referred to a local orthopedic medical specialist for immobilization of the ankle. The patient was treated conservatively with an air cast walking boot for 2 weeks (non-weight-bearing) followed by a 2-week period of partial weight-bearing. At 6 weeks following the injury, a repeated radiographic examination demonstrated complete healing of the fracture. The patient reported minimal tenderness and normal ankle function. Conclusion: Because of the similar mechanism of injury to those sustained in snowboarding, this case demonstrates the need for increased awareness of lateral process fractures in wakeboarders.

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Section: Discussionmentioning

confidence: 99%