Orthopaedic Trauma Guidance| Volume 54, ISSUE 4, P1027-1029, April 2023

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Nondisplaced talus neck fracture – Operative or nonoperative care?

Published:January 31, 2023DOI:
      HISTORY – A 25yo male is involved in a slip and fall mishap involving a skateboard. He fell while making a jump sliding down a stairway banister on his skateboard and has a lot of right ankle pain. He is otherwise unhurt. Radiographs of his right ankle were inconclusive (Fig. 1A and B).
      Fig. 1
      Fig. 1A - Initial AP xray of Right ankle. B - Initial Lateral xray of Right ankle.
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        • Buza 3rd, J.A.
        • Leucht P.
        Fractures of the talus: current concepts and new developments.
        Foot Ankle Surg. 2018; 24: 282-290
        • Fortin P.T.
        • Balazsy J.E.
        Talus fractures: evaluation and treatment.
        J Am Acad Orthop Surg. 2001; 9: 114-127
        • Schulze W.
        • Richter J.
        • Russe O.
        • et al.
        Surgical treatment of talus fractures: a retrospective study of 80 cases followed for 1-15 years.
        Acta Orthop Scand. 2002; 73: 344-351
        • Dodd A.
        • Lefaivre K.A.
        Outcomes of talar neck fractures: a systematic review and meta-analysis.
        J Orthop Trauma. 2015; 29: 210-215
        • Halvorson J.J.
        • Winter S.B.
        • Teasdall R.D.
        • et al.
        Talar neck fractures: a systematic review of the literature.
        J Foot Ankle Surg. 2013; 52: 56-61
        • Jordan R.K.
        • Bafna K.R.
        • Liu J.
        • et al.
        Complications of talar neck fractures by Hawkins's classification: a systematic review.
        J Foot Ankle Surg. 2017; 56: 817-821
        • Lee C.
        • Brodke D.
        • Perdue Jr, P.W.
        • et al.
        Talus fractures: evaluation and treatment.
        J Am Acad Orthop Surg. 2020; 28: 878-887
        • Vallier H.A.
        • Reichard S.G.
        • Boyd A.J.
        • et al.
        A new look at the Hawkins classification for talar neck fractures: which features of injury and treatment are predictive of osteonecrosis?.
        J Bone Joint Surg Am. 2014; 96: 192-197