Talus Fracture Types - Everything You Need To Know - Dr. Nabil Ebraheim
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- เผยแพร่เมื่อ 5 มิ.ย. 2024
- Dr. Ebraheim’s educational animated video describes fracture types of the Talus.
Anatomy of the talus
•Head
•Neck
•Body
•Lateral process
•Posterior process
•Medial & lateral tubercle
Posterior view of the ankle & hindfoot:
Posterior process of the talus is made up of a smaller medial tubercle and a larger tibial tubercle that is separated by a groove for the flexor hallucis longus muscle.
Fractures of the talus
•Head fracture
•Neck fracture
•Body fracture
•Lateral process fracture
•Posterior process fracture
•Osteochondral fracture
The main blood supply of the talus is the artery of the tarsal canal. It comes from the posterior tibial artery and supplies the majority of the talar body. The deltoid branch from the posterior tibial artery is an important branch involving badly displaced fractures. It supplies the medial part of the talar body. Interruption of the blood supply causes death of the bone, AVN and nonunion.
Head fracture: 5-10% of all talar fractures are head fractures.
Neck fracture: the fracture line exits inferior surface anterior to the lateral process. There are four types of talar neck fractures.
•Type I: non-displaced. 15% AVN
•Type II: fracture with subtalar dislocation or subluxation. 50% AVN.
•Type III: fracture with subtalar and tibiotalar dislocation. 90% AVN.
•Type IV: fracture with subtalar and tibiotalar dislocation and talonavicular subluxation. 90-100% AVN.
Body fracture
The fracture line exists inferior surface behind the lateral process. 25% AVN & 25% AVN with subtalar dislocation.
Lateral process fracture
•CT scan is helpful for lateral process fractures. There are three types of lateral process fractures that are called “snowboarder’s injuries” .
•Type I: avulsion
•Type II: large fragment: especially involving the joint needs surgery.
•Type III: comminuted. Small and comminuted fragments treated with a cast.
Posterior process fracture
•Rare injury
•Usually missed on initial x-rays
•Misdiagnosed as an ankle sprain
•Mechanism of injury: usually forcible plantar flexion of the ankle (nutcracker injury).
•Differential diagnosis: Os Trigonum.
•Treatment: if fracture is missed, painful nonunion and instability of the subtalar joint may result. CT scan is helpful. Lateral view in 30 degrees external rotation may show the fracture. Larger fragment involving the joint requires surgery. Smaller fragment; immobilize in a cast or a boot.
Osteochondral lesion:
•Osteochondral lesions can occur in the talus. It may require surgical treatment. Can occur in severe trauma to the ankle or severe ankle sprain.
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I dont know how to pay thanks this person nabil sir bcs of his videos and ideas i get so relaxed and had confirmed which type of injurry had i now by the grace of Allmighty Allah i m geting my recovery soon insha Allah
Dr. Ebraheim, Many thanks for taking the time to make these great videos.
oh i cant even begin thanking you. I had learned these a while back in anatomy class but finally now i have a visual in my mind!
Many thanks Dr. Ebraheim!
You make great informative videos. Thank you.
I was a type 3 with 90% AVN. no bone graph for me and walking,running and back at the gym and 100%!!!!! MINDSET no pain either !!!
joey antonuccio I hope I luck out like you!
Hi joey antonuccio how are you i did a surgery 6 month ago now i still can not walkin and hurt me alot and thes us swelling in me feet is that normal ?
@@aimadhammouchi8662 the same here.
I hope this days you at better.
Now I have six months and still painful and I can't walk normal..
@@aimadhammouchi8662how are you now?
@@alexlukacs7117how are you now?
Great work, thank for this. Very helpful!
THIS IS VERY COMPETE EXPLAINATION, REALLY ALL YOUR VIDEO ARE VERY HELPFUL.
THANK YOU
This is excellent video! Thank you for your great work!
Great video. Amazing that such a minor misstep in soccer could cause a possibly devastating fracture. My daughter fractured hers last week and we have an foot and ankle ortho appointment tomorrow. Not sure which part of the talus was fractured but like everyone else in this chat I'm just hoping for no AVN. Thanks again.
Great Video... Thanks
great videos... thank u Dr. Nabil..
Excellent video
A very good video, thanks
great job.
Many thanks dr
Thank u so much doctor !!!
Great job,
Thanks a lot
love your videos. why was dome fracture excluded?
respect thanks
A true orthopedist
Doctor can i please know if i will be able to play soccer again since i had an ankle fracture and the doctor said my talus was missing so he had replaced it with something else im so worried
Is there any treatment for AVN talar dome, so far all doctors have declined for any possible treatment.
Excellent Video.
Please is it possible for someone with talus fracture to just use cast only? If the person don't want to do surgery?
It is inappropriate to treat or diagnose via the internet. If you are close to Toledo, Oh, schedule an appointment and I will take a look.
nabil ebraheim Dr...do you accept Tricare Prime
Can i walk... I have communited talus fracture
Hi nabil sir plz reply i have serious injurry in my tallus plz instruct
I soo farr from you from pakistan
How to contact you plz tell us i allready sent you fb request and inbox
How to treat Osteochondral Lesion?
Dr. what happens if you realize that your sprained ankle was actually a lateral process fracture several months after the injury? And it’s, according to my doctor, “fused.” I repeatedly (about once a week for 4-5 weeks back in November and December) turned my ankle inward while running several times about 6 months ago. It doesn’t hurt now, and it seemed like just another ankle sprain. I am getting the CT scan ASAP, but I thought I’d ask for your expertise anyway. Oddly enough that happened before the ‘boarding season...and now that it’s over and I had the time to get it looked at, I find out it’s probably called “Snowboarder’s ankle.” And I got it running! Oh the irony! Thankfully, the only real current symptom is the hard protrusion of the lateral process. I never had any problem walking on it.
Ok, I found this: “In addition, some avulsion fractures affect such small pieces of bone there's no need to repair them. For example, ankle sprains often cause small avulsion fragments. These injuries typically can be treated like an ankle sprain, as the small piece of bone really does not affect the treatment decisions or outcome of the patient.” Therefore, I have decided to stop worrying about it...
i recently broke my talus and am due for surgery in the next few days. I'm very scared i tore my artery. I really don't want to hear the doctors telling me a bone is dead or is dying off.
hi crazybeartimba,
I broke my Talus 1 yr back everything is fixed but i lost flexibility.
And now i limp a little , My calf muscles are still week.
How are yo now
Regards,
Ashish
@@ashishv00 hi ashish, how is ur condition now?? My friend recently got talus fracture. He is totally depresed. Can u plez tell me ur experience so that i can have lit knowledge about the recovery.
@@thandokhando7167 how it's you're friend this days?
I'm in his situation now 🤦🏽♂️
my doctor told me that i broke my talus bone in three different places and i half to wear a boot and use cutches and if it is not better in 6 weeks i will half to gt surgery and im sooooooo nervous that it is not going to get better and in only in 8th grade:((((
Hi Libby, may i ask u how is ur condition now. My friend recenty got talus fracture and he is now so depressed. Can u plez tell me how long did it took for u for ur recovery. Wat is the chances to get back to normal. Plez help me