How long does a talar neck fracture take to heal?
Most talar neck fractures are displaced and require surgery to reposition the bones back to their original position. Recovery requires a prolonged period (6-12 weeks) of non-weight bearing.
How do you treat a talus fracture?
Most of the time fractures involving the talus require surgery. However, if the fracture is in a good alignment and seems stable, you might be treated without surgery using a splint or cast. If the bones are shifted out of place, surgery is usually needed to reset the bones.
What is a talar neck fracture?
Talar neck fractures extend through the thinnest cross-sectional portion of the talus, just proximal to the talar head. They represent one of the most common types of talus fracture (~30-50%), along with chip and avulsion fractures of the talus (~40-49%).
What is a talar shift?
Spiral fracture through the distal fibula. Fracture line through the ankle joint in keeping with a Weber B, with slight lateral talar shift (widening of medial clear space). Well-corticated ossicle distal to the medial malleolus may be post-traumatic or congenital (i.e. an accessory ossicle).
Can I drive with an avulsion fracture?
Your injury may affect your insurance and you should contact your insurer before driving. Once you are out of your moonboot, cast or sling the general advice is you must be able to safely perform an emergency stop or manoeuvre. You should always be in full control of your vehicle.
What does the talar tilt test for?
Purpose: To test for injury to the lateral ligaments of the ankle. Test Position: Supine or sitting. Performing the Test: The examiner stabilizes the distal leg in a neutral position and inverts the ankle. The examiner then determines how much inversion is present.
How are talar neck fractures diagnosed and treated?
Talar neck fractures are high energy injuries to the hindfoot that are associated with a high incidence of talus avascular necrosis. Diagnosis is made with radiographs of the foot but frequently require CT scan for full characterization. Treatment is emergent reduction of the talus following by internal fixation in an acute or delayed fashion.
How long does it take for a broken talar neck to heal?
The vast majority of talar neck fractures involve a displacement of the talar bone, meaning it’s highly unlikely it will heal exactly as it should without surgical intervention. In the very rare case that conservative care could be an option, your doctor may recommend 6-8 weeks of non-weight bearing and immobilization.
Why do talus fractures occur at the neck?
More specifically, this energy is typically applied to the bottom of the foot, forcing it to flex upwards and driving the talus up. When this happens, the talus tends to fracture at its “neck.” The neck is viewed as a middle area of the bone between the head and body of the bone.
What is the Hawkins classification for talar neck fractures?
The Hawkins classification is the most widely cited for describing talar neck fractures, as higher severity types have been classically linked with increasing likelihood of developing ON [ 2 ]. Type I fractures are nondisplaced.
