Missed Peritalar Injuries

Abstract

Care Management, Level V.

Talar Middle Facet Fracture: A Report of 2 Cases

“…8 Peripheral talar fractures usually produce a subtle clinical picture that is often interpreted as an ankle sprain, and the fracture might not be noticed in the initial evaluation. 7 In the cases described by this report, the most evident fracture on radiographs was the talar lateral process. A joint space widening of the subtalar middle facet on the lateral ankle radiography was found in both cases and was identified by surgeons habituated to analyzing images of this region, by using the facets' parallelism and orientation (Figures 1 and 4).…”

Plate Fixation of Talus Fractures: Where, When, and How?

“… 8 Nevertheless, larger fractures' fragments involving a larger percentage of the articular surface are treated with surgical fixation. 9 10 11 Surgical excision is generally advocated for smaller fracture fragments, but simple small fragments or those without comminution may be treated with simple screw fixation. It is the larger fragments and those with comminution that benefit from plate fixation.…”