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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia Del Piede 2005 March;29(1):17-20

Copyright © 2005 EDIZIONI MINERVA MEDICA

language: Italian

Rotator defects in the after-effects of talar neck fractures

Parino E.


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Among the complications associated with compound fractures of the talar neck, much attention has been paid in the literature to avascular necrosis of the talar body, post-traumatic arthropathy of the tibiotarsal and subtalar and consolidation defects. Apart from the pseudoarthroses, the latter may result in a malalignment on the sagittal plane, easily recognisable in lateral X-rays or in a reduction defect on the frontal plane. This latter eventuality is also possible in cases in which an apparently minimal compound fracture produces a rotational varus defect of the hindfoot. Varus deformity conditions rigidity of the coxa pedis, becomes rapidly symptomatic fortransferim load on the external border of the foot, and worsens over time because of the degenerative involvement of the subtalar joint. Its recognition in the acute phases of the trauma is difficult using only standard X-rays. Clinical examination remains the best instrument for detecting the rotational defects of the hindfoot in the sequelae of talar fracture and may possibly be integrated by CT study of the talus.

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