[Peripheral fractures of the talus : An overview].

Abstract

Fractures of the talar head, lateral tubercle of the talus and posterior tubercle of the talus are summarized under the term peripheral talar fractures. These injuries are rare and are often overlooked on conventional X‑rays, which is why they are often diagnosed after a delay. When overlooked they are very likely to lead to poorer outcomes. In all cases where an injury is suspected computed tomography (CT) imaging should be carried out to detect or exclude a peripheral talar fracture and concomitant injuries and to understand the injury. Nonoperative treatment can be used for nondisplaced fractures, excision can be considered for small displaced fragments and open reduction and internal fixation should be considered for displaced fragments of sufficient size. The surgical approach is based on the morphological characteristics of the fracture and the localization. Due to the scarce evidence available treatment recommendations are based solely on expert opinions.