Painful Ununited Fracture of the Posterior Process of the Talus in an Adolescent Dancer

by Hsuan-Kai Kao, and James G. Gamble

JBJS Case ConnectVolume 4(4):e92October 8, 2014

©2014 by The Journal of Bone and Joint Surgery, Inc.

Lateral radiograph showing a radiolucency extending into the body of the talus.

Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect 2014;4:e92

©2014 by The Journal of Bone and Joint Surgery, Inc.

Lateral plantar flexion radiograph showing apparent movement of the fragment.

Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect 2014;4:e92

©2014 by The Journal of Bone and Joint Surgery, Inc.

Sagittal T2-weighted image demonstrating increased signal within the posterior process and fluid signal between the fragment and the talar body.

Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect 2014;4:e92

©2014 by The Journal of Bone and Joint Surgery, Inc.

Axial T1-weighted image demonstrating the involvement of the entire posterior process of the talus.

Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect 2014;4:e92

©2014 by The Journal of Bone and Joint Surgery, Inc.

Postoperative radiograph of the right ankle at the twenty-four-month follow-up showing remodeling of the posterior aspect of the talus without evidence of arthritic change in either the

ankle or the subtalar joints.

Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect 2014;4:e92

©2014 by The Journal of Bone and Joint Surgery, Inc.

Lateral radiograph of the right ankle in a sixteen-year-old boy showing an oval-shaped os trigonum that does not extend underneath the plafond of the tibia.

Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect 2014;4:e92

©2014 by The Journal of Bone and Joint Surgery, Inc.