Unusual ankle and foot fracture!!
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A 26-year-old postman fell whilst walking in a forest, sustaining a hyper plantar flexion and internal rotation injury to his right ankle. He presented to the Accident and Emergency department with a grossly swollen and deformed right ankle. The skin was intact, with a minor abrasion over the lateral malleolus. There was no neurovascular deficit. Radiographs demonstrated a displaced vertical fracture of the neck of the talus extending through the body with vertical fracture of the medial malleolus and medial talar shift.
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@oindrila Fractures of the talus have a relatively low incidence accounting for 0.3% of all bone fractures and 3–6% of all foot fractures. Talar body fractures of the talus are uncommon accounting for 7–38% of all talus fractures. Sneppen et al defined fractures which occur in the vertical plane as shearing fractures. They defined fractures whose plane is close to the sagittal plane as sagittal shearing fractures. S. Inokuchi et al described sagittal fractures which run from the lateral, not the medial, entrance of the sinus tarsi to the sulcus of the flexor hallucis longus on the inferior surface of the talus