How do you treat a talar dome fracture?
Nonsurgical Treatment Approaches
- Immobilization. Depending on the type of injury, the leg may be placed in a cast or cast boot to protect the talus.
- Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be helpful in reducing the pain and inflammation.
- Physical therapy.
- Ankle brace.
What is OCD of the talar dome?
An osteochondral lesion of the talus (OLT) is an area of abnormal, damaged cartilage and bone on the top of the talus bone (the lower bone of the ankle joint). This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL).
What is a talus dome fracture?
A talus fracture is a break in one of the bones that forms the ankle. This type of fracture often occurs during a high-energy event, such as a car collision or a fall from a significant height. Because the talus is important for ankle movement, a fracture often results in substantial loss of motion and function.
What causes a talar dome fracture?
A talar dome fracture can be caused by: An inversion ankle injury (the foot rolls inwards accidentally), about 2%-6% of acute ankle sprains are associated with a talar dome fracture. A combined inversion injury with a compression element of the joint into the ground.
How long does it take for a talar dome lesion to heal?
The recovery period after an osteochondral lesion usually lasts six months to a year. Typically, you progress from range-of-motion exercises to light cardiovascular exercise and then strengthening exercises. If you experience episodes of minor swelling or pain while exercising, have your physician examine your ankle.
Can you walk with a talus fracture?
What is the long-term prognosis for a talus fracture? With or without surgery, your foot will be in a cast or splint. You won’t be able to put any weight on it or walk on it. Depending on the complexity of your injury, you may have to wear the cast for eight to 12 weeks or more.
How big is the talar dome?
The mean thickness of the articular cartilage in the talar dome was greater in men than in women. However, individual cartilage thicknesses varied widely. The average width of the talar dome was 30.81 mm (range, 27.8 to 33.7 mm) in men and 25.99 1.54 mm (range, 24.0 to 28.7 mm) in women.
What type of bone is the talus?
The talus is considered a short bone and is one of the main bones of the ankle.
How does a broken talus bone heal?
Talus fractures may be treated in a cast, or surgery may be recommended. Nonsurgical Treatment: Nonsurgical treatment is recommended for fractures in which the pieces of bones remain close together, and the joint surfaces are well aligned.
What is the pathophysiology of talar dome fracture?
In a talar dome fracture, the injury to the subchondral bone crushes the normal blood supply to the site of the injury. The term aseptic necrosis is used to describe this type of an injury to the bone.
What is the Berndt and Harty classification of talus?
Berndt and Harty classification is used for osteochondral lesions of the talus. Classification stage I: subchondral bone compression (marrow edema) stage II stage IIa: subchondral cyst stage IIb: incomplete separation of fragment stage III:… Berndt and Harty classification is used for osteochondral lesions of the talus.
Who are the authors of talar fracture classification?
Talar fractures: radiological and CT evaluation and classification systems Giuseppe Caracchini,1Michele Pietragalla,1Alioscia De Renzis,1Michele Galluzzo,2Mattia Carbone,3Marcello Zappia,4Anna Russo,5Federico Greco,2and Vittorio Miele1 Giuseppe Caracchini 1Department of Radiology, Careggi University Hospital, Florence, Italy
What is the first line methodic for evaluation of talar fractures?
Conventional Radiography is the first line methodic in the evaluation of a potential talar fracture; however CT scans with MPR and VRT reconstructions are necessary to accurately assess and classify talar fractures. A correct and prompt diagnosis is mandatory to guide effective management decisions and optimize treatment outcomes.