Document Detail

Fractures and fracture-dislocations of the neck of the talus.
MedLine Citation:
PMID:  7452746     Owner:  NLM     Status:  MEDLINE    
Forty fractures and fracture-dislocations of the neck of the talus are reviewed. Undisplaced fractures are associated with a high proportion of good results. Type II fractures, where there has been subluxation of the subtalar joint, require accurate reduction to avoid subtalar joint incongruity, and have a 20% incidence of avascular necrosis. Type III fractures, with dislocation of the body of the talus, have a poor prognosis and have a 100% incidence of avascular necrosis. Hawkins' sign of subcortical radiolucency is helpful in ascertaining the presence or absence of avascular necrosis. Accurate open reduction and rigid internal fixation with early range of motion of the involved joints is recommended where a closed reduction has failed to provide anatomic reduction.
J N Penny; L A Davis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  20     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1980 Dec 
Date Detail:
Created Date:  1981-03-24     Completed Date:  1981-03-24     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1029-37     Citation Subset:  AIM; IM    
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MeSH Terms
Dislocations / radiography,  surgery*
Fractures, Bone / radiography,  surgery*
Middle Aged
Osteonecrosis / complications,  surgery
Talus / injuries*,  radiography,  surgery
Tarsal Joints / injuries

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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