Talar neck fracture with Hawkins sign

Case contributed by Dr Matt Skalski

Presentation

Unspecified injury.

Patient Data

Age: 28
Gender: Male
Modality: X-ray

The visualized osseous structures show marked osteopenia, with prominent resorption of the bone deep to the articular cortices, most notably along the talar dome indicating adequate vascular supply.

A single cannulated cortical screw through the neck of the talus is noted without evidence of complication. 

Modality: CT

The visualized osseous structures show marked osteopenia, with prominent resorption of the bone deep to the articular cortices. 

Modality: Annotated image

The blue arrows indicate the subchondral lucent line which represents Hawkins sign.

Case Discussion

Classic example of Hawkins sign, indicating that the talus has an adequate vascular supply and is unlikely to undergo avascular necrosis as a result of a talar neck fracture

This case is courtesy of  George Matcuk, MD who generously shared it with me. 

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Case Information

rID: 32157
Case created: 16th Nov 2014
Last edited: 22nd Jan 2016
Inclusion in quiz mode: Included

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