Pediatric talus body fracture

Case contributed by Samir Benoudina
Diagnosis certain

Presentation

Pain, swelling, and inability to bear weight on foot. The patient reported a jump from a height.

Patient Data

Age: 4 years
Gender: Male
x-ray

Non displaced talar body fracture.

Note the typical appearance of a toddler fracture of the distal tibia.

Annotated image
  • red: talar body fracture

  • blue: toddler fracture

  • arrow: talar body fracture on the frontal view

Case Discussion

Pediatric talar fractures are extremely rare 1, due to the mainly cartilaginous composition of this bone in children. This gives it a high elastic resilience 2. Neck fractures are the most common; followed by body fractures. Fractures of the talar head are usually secondary to dislocation of the midtarsal joint 3.

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