The talus bone: fracture

A rather rare medical term,is not it? Really, what kind of talus is this? My son says that the name is like a "turban". He is a lover of fishing. The caught fish solves a fish, dries it and calls it a small dragon, regardless of the breed. I'll have to shed some light on this very bone. Moreover, there is such a pathology as a fracture of the talus bone.

So this bone is also called the supraclavicular. Already easier, right? It forms the ankle joint - its lower part. Among the bones of the tarsus (the totality of the foot pits), the talus bone is second in its size. Of all the bones of the human body, it is most covered with articular cartilage. During walking or running 100% of the mass of the human body takes on this particular bone.

Fracture of the talus

In general, this pathology is very rare,constituting up to 1% of all cases of limb fractures. Nevertheless, such a trauma is severe. Approximately 1/3 of all cases of fracture of the talus result in the disability of the victim.

The fact is that this fracture provokesinsufficiency of blood supply to the bone. Even in the case when the integrity of the vessels in the trauma is not affected, then due to their squeezing with fragments or swelling, bone nutrition is disrupted. Such a trauma, especially with uncomfortable fractures, can also provoke necrosis.

From the secondary osteoarthritis, the subtalar joint suffers. Thus, the functions of the ankle joint are violated. The victim experiences severe agonizing pain while moving.

Causes

The most common cause is a fall from heightdirectly on the straightened legs. Basically, there is a fracture in the neck of this bone. In this case, often this pathology occurs in conjunction with other fractures. In particular, this combination with a compression fracture calcaneus.

I hope readers remember that the talus bone -capillary? Here the cumulative fractures of calcaneal and buccal bones are most common. More rarely, such fractures occur in combination with fractures of other foot bones: navicular, wedge-shaped, metatarsal.

Symptoms

  • Pronounced edema of the foot.
  • Difficulties in determining the location of bone pathology.
  • When palpation is determined by the displacement of the supraclavicular (collateral) bone.
  • Stop in the bending position.
  • There is a sharp pain when walking in the ankle.
  • Pain when you try to wiggle your thumb.
  • Deformation of the foot when the fragments are displaced.

Diagnostics

Diagnosis is somewhat difficult. The most effective informative diagnostic method is computed tomography. This bone is located in the middle of other bone structures. That is why standard radiographs do not allow to determine the nature of pathology reliably.

Treatment

To select the tactics of treatment, thetype of damage. Pathologies are distinguished as a fracture of the neck or body of the bone. Also, there are marginal fractures and fragments, with or without fragments displaced. The scales of bias are determined using computed tomography.

With this approach, you can see the exact linefracture, determine the need for the operation, its nature and volume. In particular, if there is a bias, it may be necessary to use osteosynthesis. If the displacement is absent, then the fracture of the talus bone is treated conservatively.

Important is andpostoperative period. The talus bone during the splicing requires radiographic control, regular inspections. It grows together for several (up to four) months. Thus, using the most modern diagnostic methods and methods of treatment, the best results are achieved with the restoration of the calcaneus.

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