Talus fractures were almost unheard of a hundred years ago. One month after surgery, the pain and swelling were alleviated and ankle function was recovered. Talus fractures are most often seen in car and motorcycle crashes, snowboarding accidents, and severe falls. The most common fracture occurs in a portion called the neck. He was treated with the accepted gout maintenance regimen of nonsteroidal antiinflammatory drugs and colchicine after surgery 2. Fractures of the talus may occur in any part of the bone. Blood uric acid and C-reactive protein levels after the surgery were 620 μmol/l and 18.7 mg/l, respectively. Pathological staining confirmed that the excised tissue was tophus. The trigonal process of talus was heavily eroded. Plaster-like tissue mixed with a small amount of bone and soft tissue was noted during the surgery. There was also a small irregular central area of low signal ( Figure 1B, 1C). Magnetic resonance images of the ankle showed a T1 hypointense and T2 hyperintense soft tissue mass. Recently, the pain and swelling became much worse. Talus fractures, especially neck and body fractures, can be problematic due to the precarious blood supply of the talus and the risk of avascular necrosis (Egol et al. After rest and antiinflammatory treatment, the pain and swelling were alleviated. Initial diagnosis was fracture of the right talus, based on plain radiograph (noncontinuous bone cortex on the back edge of right talus and a dissociative bone block, Figure 1A) 1. A talus fracture is a condition characterized by a break in one of the small bones of the ankle, known as the talus (figure 1). Physical therapy exercises will be initiated to restore movement.Diagnosis of gout for patients who have initial symptoms of ankle swelling and pain is difficult because talus fractures easily after injury, and it may be difficult to identify tophaceous gout by imaging alone.Ī 24-year-old man had persistent pain and swelling after spraining his right foot 1 year before presentation. The foot should then be elevated above the heart level and ice should be applied for at least 20. A well-padded splint should be applied around the back of the foot and leg from the toe to the upper calf. Treatment for a talus fracture must begin immediately. This type of fracture often occurs during a high-energy event, such as a car collision or a high-velocity fall. After surgery, you may have to wear a cast for 6 to 8 weeks until complete healing. This includes the development of chronic pain, arthritis, or even bone collapse. A talus fracture is a break in one of the bones that forms the ankle. Small bone fragments may be removed and replaced with bone graft. Surgical treatment: Your surgeon realigns the fractured bone and stabilizes it with metal plates and/or screws. You will be advised to perform exercises to help strengthen your foot and ankle and restore range of motion once the cast is removed. Non-surgical treatment: If the bone has not moved out of alignment, your doctor will place your ankle in a cast for 6 to 8 weeks. Talus fractures are treated by either non-surgical or surgical methods. When you present to the clinic with these symptoms, your doctor will perform a thorough physical examination and order an X-ray or CT-scan to diagnose the location and severity of the fracture. The symptoms include severe ankle pain, inability to walk, swelling and tenderness. Fractures in the talus bone may occur due to a fall from great heights, motor vehicle accidents or twisting of the ankle. The talus is a small bone at the ankle joint that connects the heel bone and the two bones of the lower leg, enabling the up and down movement of the foot.
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