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The talus is located in the middle of the ankle joint and connects the shinbone to the heel bone and foot. Acting as a hinge, the talus enables the foot to flex up and down, and side to side. Therefore, injuries to the talus have a profound effect on movement and function of the foot & ankle. When a fracture to the talus occurs, patients will feel acute pain, difficulty with bearing weight, and swelling or tenderness around the ankle joint.
Even more, a talus fracture can cause complications later in life, including arthritis or osteonecrosis (avascular necrosis). A fractured talus can interrupt blood flow to the bone. If the proper nutrients can’t reach the talus, the bone is unable to heal.
Most talus fractures are the result of high-energy trauma, such as a car collision or a high-impact fall. Injuries from sports, particularly from snowboarding, are another, less common, cause of talus injuries.
Patients with talus fractures usually experience:
After discussing your symptoms and medical history, your doctor will do a careful examination. To minimize future complications, our New Jersey foot and ankle specialists will promptly pinpoint the site of the fracture, check to see if there is an adequate blood supply to the foot, and look for damaged nerves. Then, your doctor will order imaging tests to determine whether surgery is required.
Our podiatric specialists treat talus fractures with the latest technology, including innovative surgical procedures, to restore motion, function and strength. Treatment options vary based on the magnitude of the talus fracture. If bones are in their proper positions, your doctor may suggest wearing a cast. After the cast is removed, prescribed exercises can restore strength and range of motion. Unfortunately, though, most fractures require surgery to reset the talus. During surgery, your surgeon will remove small bone fragments and insert screws or pins to hold the bone in place while it heals. Patients should avoid placing weight on the injured foot and ankle during the recovery period.