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Unique transchondral fracture of the talus.

Since Berndt and Harty first reported and classified transchondral fractures of the talar dome in 1959, many additional cases have been reported in the literature. In each case, the lesion was reported to be one of two types, a shallow fragment located anterolaterally, or a deep fragment located posteromedially. The authors present a case of an unusual finding of a transchondral talar dome fracture that is unlike the previously reported cases.

Adult↗

[Osteochondral lesions of the talus].

The study of 102 cases of talar dome osteochondral lesions allows to class them in different categories: The lateral lesions are almost always osteochondral fractures. They are often discovered as fresh lesions. Frequently the ankle lateral ligament is also injured. They can be immobilized or fixed using a screw. In a second category, where the lesions are medial, it has been impossible to find any argument in favour of a traumatic origin. Most of the patients are young, still growing up. The prognosis is favorable. In the third category, the lesions are also medial, but their aspects are different. We cannot deny the traumatic origin, but we cannot demonstrate it, and the explanation of these lesions are hypothetical. Here the lesions are often severe, the surgical treatment is necessary with good clinic results in spite of radiological signs persistence and of late arthrosis evolution.

Adolescent↗

[Dislocation of the foot and talus--a rare injury of the ankle joint].

In their communication the authors describe two cases of a very rare injury presented in the world specialized literature under the title "luxation pedis cum talo". They treated two professional sportsmen with this diagnosis at the clinic. The authors describe the pathological anatomy of this injury where there occurs almost complete rupture of both deltoid and fibular ligaments of the ankle. In both mentioned cases, despite the severe instability of the nakledorsally placed parts of both ligaments have been preserved, and namely pars tibiotalaris post. lig. deltoidei and lig. fibulotalare post. The authors deal with the question if the cases of "luxatio pedis cum talo" consist in the actual momentary dislocation or rather an extreme subluxation in this joint. Surgical treatment of this injury--the suture of the ruptured ligaments--is an absolute indication and necessity. Adequate reconstruction of the ligamentary apparatus of the ankle gives a guarantee of complete recovery and full functional return of the injured ankle.

Adult↗

Osteoid osteoma of the talus. A case study.

Osteoid osteoma can be easy to recognize in a classic presentation involving long bones. However, the diagnosis may be difficult when cancellous bone is involved, and surgical exploration may first lead to the diagnosis. A case is presented illustrating this problem.

Adult↗

Radiographic evaluation of transchondral dome fractures of the talus.

Transchondral fractures of the talar dome have been cited frequently in the literature. The number of radiographic techniques available for the evaluation of these lesions often leads to confusion for the physician. The authors discuss each of the radiographic modalities available for the assessment of this entity. Advantages and disadvantages of these modalities have been presented. This manuscript provides the clinician with the knowledge to perform an appropriate evaluation of the problem.

Arthrography↗