Management of 1½ month old neglected talus neck fracture: A case report and review of literature

Kale, Dinesh R; Khadabadi, Nikhil Aravind; Putti, B.B.; Jatti, Ravi S

doi:10.4103/0974-5009.126757

Cited by 4 publications

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“…They are caused by a sudden dorsiflexion of the ankle, which resulting in a fracture of the neck talus. Another cause of neck talus fracture is excessive force applied to the neck talus by the medial malleolus during a forceful ankle inversion [3]. In a review of 102 patients by [4] found a 6.9% incidence of delayed presentation and/or undiagnosed injuries to the neck/body talus.…”

Section: Discussionmentioning

confidence: 99%

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Decision on Preserving Ankle Joint Function in Neglected Neck Talus Fracture Hawkins Type IV

Subawa¹,

Pramana²,

Pratama

2023

EJMED

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Introduction: Talus fractures are rare injuries to the hindfoot that still challenging in treatment. Accounting for <1% of foot and ankle fractures, and approximately 50% of them occur at the level of the neck. The anastomotic ring of blood supply is likely to be damaged in neck talus fractures, which disrupt the blood flow and cause significant problems affecting fracture healing and its complication. Case Illustration: We follow the progress of the illness from a 47 years old female complain pain on her left ankle after falling down 6 months before outpatient. Patient diagnosed as neglected close fracture left neck talus Hawkins type IV. Then patient undergo an ankle arthroscopy to evaluate the ankle joint in decision to preserve the tibiotalar joint, while arthrodesis performed in subtalar and talonavicular joints in this patient. This procedure achieved a good result in preserve ankle alignment, stability and soft tissue damage reduction. Improvement of VAS and AOFAS Score from 5 and 39 preoperative to 0 and 81 in follow-up of 3 months after surgery with good compliance of the patient. Discussion: Arthroscopy is safe procedure obtaining anatomical joint surface and reduce tissue damage. Therefore, a clear articular surface must be found during arthroscopy in deciding to preserve the joint function. While subtalar arthrodesis also another option that can enhance blood supply to encourage union, although loss of some ankle motion has significant effect on ambulation.

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Section: Discussionmentioning

confidence: 99%

“…Through the deltoid ligament, the branches of the posterior tibial artery nourish the posteromedial portion of the body. These are some factors determine high rate of complications in these injuries [2], [3].…”

Section: Introductionmentioning

confidence: 99%

Decision on Preserving Ankle Joint Function in Neglected Neck Talus Fracture Hawkins Type IV

Subawa¹,

Pramana²,

Pratama

2023

EJMED

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“…Hence early diagnosis by using necessary modalities including ultrasonography (USG), computer tomography (CT), and magnetic resonance imaging (MRI) ensures a decrease in long term complications and morbidity of those patients. Anatomical reduction with open reduction and internal fixation was almost exclusively treatment for talar neck fracture [3] , [4] , [5] . We present a case in which talus fracture was not diagnosed in the beginning and was managed to go to traditional massage, which later presented as a non-union neck of the talus.…”

Section: Introductionmentioning

confidence: 99%

Management of 3 month old neglected talus neck fracture: A case report and review of literature

Lengkong¹,

Kennedy²,

Senduk³

et al. 2023

Trauma Case Reports

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“…Talus fractures are typically missed during the initial evaluation, either due to poor clinical examination or inadequate radiological images. Several studies reported that, among all midfoot and ankle fractures, almost 39% cases are missed during the initial evaluation, and talus fracture accounts for almost 50% of all the missed injuries [ 6 , 7 , 8 ]. A high level of clinical suspicion is required to avoid missing such injuries.…”

Section: Introductionmentioning

confidence: 99%

Outcome of neglected talus neck fracture and it’s management: A Case Report

Moger¹,

Pragadeeshwaran²,

Verma³

et al. 2021

JOCR

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Introduction: Talus fracture is an uncommon fracture that can be encountered on day- to- day basis. However, it is the 2nd most common tarsal bone to get fractured after calcaneum and accounts for approximately 1% of all fractures around foot and ankle. The anastomotic ring around the talar neck is highly likely to get damaged at the time of the fracture, which, in turn, hampers the blood supply to the body of talus. As a result, the bone healing is delayed and the integrity of the healed fracture is poor which leads to poor functional outcome. Almost 39% cases are missed during the initial evaluation, and talus fracture accounts for almost 50% of all the missed injuries (6–8). A high level of clinical suspicion is required to avoid missing such injuries. Case Report: A 26-year-old male presented to the outpatient department with chief complaint of pain over the left foot while walking for past 6 months. There was a history of significant trauma to the foot 6 months back (fall from 12 feet) for which he sought medical advice and was managed with analgesics and rest for a couple of weeks. He presented to us 6 months later with chronic, dull aching, and continuous pain which aggravates while walking and standing. The diagnosis of the non-union fracture neck of talus was made after radiology and was managed by open reduction and internal fixation with cannulated cancellous screws along with contralateral iliac crest cancellous bone grafting. Conclusion: Delay in diagnosing such injuries accelerates the vascular compromise, delays timely intervention, and ultimately leads to increased morbidity. Keywords: Talar neck fracture, non-union talus fracture, delayed union talus.

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Management of 1½ month old neglected talus neck fracture: A case report and review of literature

Cited by 4 publications

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Decision on Preserving Ankle Joint Function in Neglected Neck Talus Fracture Hawkins Type IV

Decision on Preserving Ankle Joint Function in Neglected Neck Talus Fracture Hawkins Type IV

Management of 3 month old neglected talus neck fracture: A case report and review of literature

Outcome of neglected talus neck fracture and it’s management: A Case Report

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