12/30/2023 0 Comments Talus fracture treatmentThis could be a subtle difference to a type 3 talus fracture and was not originally part of the classification system. Type 4 talus fractures include not only the dislocation of the body of the talus (the posterior portion) from the calcaneus but also the separation of the head of the talus from the other tarsal bones anterior to it.Disruption of all three blood vessels is common in a type 3 talus fracture and necrosis of the bone can occur. This means the position of the bones around the talus are affected and might not fit together the same way they would if there wasn't an injury. Type 3 talus fractures have the same sort of separation as a type 2 fracture with the addition of an ankle dislocation.In this case, two out of the three arteries feeding the talus could be damaged. In a type 2 talus fracture, the bone can be reduced (put back together) almost always, but there can be some long-term damage and possible necrosis of the bone. Type 2 talus fractures have a clear separation across the fracture, but the talus still remains mostly in place within the ankle.A type 1 talus fracture usually heals well without any necrosis (death) of the bone. Only one of the three blood vessels supplying the talus is typically affected. Type 1 talus fractures have a clear vertical fracture line, but very little, if any, separation of the two parts of the talus and it remains in the proper anatomical position within the ankle.Elevating the limb encourages the swelling and tissue fluids to flow away from the site of injury. A severely broken ankle may require surgery to implant plates, rods or screws into the broken bone to maintain proper position during healing. Treatment for a broken ankle depends on the exact site and severity of the bone fracture. Due to the rarity of these injuries, most of the literature published on treatment, complications, and outcomes has been limited to case series, preventing the ability to draw definitive conclusions 110. Compression & elevationĬompression with an ankle taping or compression bandage will protect the joint from further injury and help reduce swelling. Fractures can range from tiny cracks in your bones to breaks that pierce your skin. Talar neck fractures have traditionally been quoted to account of less than 1 of all fractures. Then reduce the frequency as symptoms improve. You can apply cold for 10 to 15 minutes every hour for the first 24 to 48 hours. Wrap it in a wet tea towel, or use a commercially available hot and cold pack which are often more convenient. Ice should not be applied directly to the skin. Cold therapyĪpply ice or cold therapy immediately after the injury. If you suspect a severe sprain or a fracture then seek immediate medical assistance. Continuing to walk or play while it is painful will increase swelling and slow the healing process. Rest is important both immediately after injury as well as whilst the injury is healing. Initial treatment should involve applying the PRICE principles of rest, ice, compression, and elevation. Other bones in the ankle such as the talus may also fracture during an eversion ankle sprain depending on the severity of the injury. Therefore, an eversion ankle sprain often occurs with a fibula fracture, called a Pott’s fracture. If however, the fibula fractures then there is nothing preventing excess ankle eversion. Also, the medial ligaments are much stronger than the lateral ligaments on the outside. As a result, it is difficult for the deltoid ligaments to overstretch. This is because the fibula restricts the ankle from rolling in (everting). It is rare that the deltoid ligaments tear. These ligaments provide support to prevent the ankle from turning inwards or everting. What is an ankle eversion sprain?Īn eversion sprain is a tear of the deltoid ligaments, on the inside of the ankle. The medial ligaments on the inside of the ankle consist of the tibiotalar ligament, tibiocalcaneal ligament, and the tibionavicular ligament. The talofibular ligament joins the talus to the fibula, whilst the calcaneofibular ligament joins the calcaneus to the fibula. The lateral ligaments are on the outside of the ankle and consist of the talofibular ligament and the calcaneofibular ligament. Difficulty with weight-bearing and limited ankle mobility.Īn X-ray may be required to determine the extent of the injury and rule out fractures.Immediate pain on the inside of your ankle.With an eversion ankle sprain, your ankle rolls inwards. You usually know you have sprained your ankle.
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