A talus fracture usually stems from significant trauma to the foot. Injuries that can result to this type of fracture include falls from a great height or vehicular accidents.
In case a fracture does not correctly heal, it can lead to walking issues. Several cases might require surgery right after the injury to prevent future issues.
What are the types?
A talus fracture is typically based on the seriousness of the injury and degree of movement of the bone from its normal position.
The 3 main classifications include:
- Minimally displaced fracture – the bone has slightly moved out of position. The bony ends are still lined up properly and the damage can recuperate without surgery.
- Displaced fracture – bone has moved out of its normal position. Surgery is necessary to correctly line up the broken bone again.
- Open fracture – this is a severe form of talus fracture. If a piece of bone pierces the skin, it is called as an open fracture. The tendons, muscles, nerves and ligaments might also be damaged.
What are the indications?
The symptoms tend to vary depending on the type of talus fracture.
- Minimally displaced – there is acute ankle pain which is the initial sign along with minor tenderness and swelling. The individual can walk but there is discomfort.
- Displaced – the pain, tenderness and swelling are greater. The individual could not place any weight on the affected ankle.
- Open – bone protrudes through the skin along with intense pain and bleeding.
Management of a talus fracture
The main treatment for a talus fracture includes immobilization of the foot and raising it above the level of the heart. For an open fracture, it is considered as a medical emergency.
In case the talus bone is stable, conservative measures are enough. Remember though that the injury is high-force in nature, thus most cases are usually unstable which requires surgical intervention.
More Information / Disclaimer
The information posted on this page on a talus fracture is for learning purposes only. Learn to recognize the signs and how it is managed by taking a standard first aid course with Toronto First Aid.