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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2001 February;52(1):19-22
Fracture of the posterior process of talus: what treatment? A case report
Megaterio S., Capretto S., Coniglio A., Carannante G.
The posterior process of talus consists of two tubercles, the medial and the lateral, which are separated by the groove of the flexor hallucis longus. The fractures of the entire posterior process of talus, medial and lateral tubercles, are rare. This type of lesion is also known as Shepered's fracture. The authors describe a case of fracture of the entire process of talus. The patient, a 43 year old man, underwent closed reduction and stabilization by Ilizarov's system; not weight-bearing till 60 days from accident. According to the literature, an imaging stud with CT scan is important for the type of treatment. This examination permits to evaluate the number and of bone fragments. On the basis of personal opinion, the treatment of comminuted fractures of the entire posterior process of talus consists of closed reduction and stabilization by external fixator. A clinical and surgical management of this type of lesion is suggested on the basis of the imaging examination.