Talar neck fracture

Case contributed by Dr Charlie Chia-Tsong Hsu

Presentation

Fell down a flight of stairs sustaining trimalleolar fracture of right ankle from the fall. In addition patient sustained inversion injury to left ankle. Images presented are of the left ankle.

Patient Data

Age: 40
Gender: Female
Modality: X-ray

Lateral ankle radiographs (image 1 and image 2) show a nondisplaced (Hawkins type I) vertical fracture of the neck of the talus. There is moderate ankle joint effusion and adjacent soft tissue swelling.

Talar neck fracture is often best visualised on oblique view of the foot (image 3) and can be very subtle on AP view of the foot (image 4).  There is no disruption of the subtalar joint, talonavicular joint or the ankle mortis (image 5). The finding is in keeping with a Hawkin I classification.

Case Discussion

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Case Information

rID: 18235
Case created: 21st Jun 2012
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

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