Painful Ununited Fracture of the Posterior Process of the Talus in an Adolescent Dancer by Hsuan-Kai...

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Painful Ununited Fracture of the Posterior Process of the Talus in an Adolescent Dancer by Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect Volume 4(4):e92 October 8, 2014 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Transcript of Painful Ununited Fracture of the Posterior Process of the Talus in an Adolescent Dancer by Hsuan-Kai...

Page 1: Painful Ununited Fracture of the Posterior Process of the Talus in an Adolescent Dancer by Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect Volume.

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.

Page 2: Painful Ununited Fracture of the Posterior Process of the Talus in an Adolescent Dancer by Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect Volume.

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.

Page 3: Painful Ununited Fracture of the Posterior Process of the Talus in an Adolescent Dancer by Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect Volume.

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.

Page 4: Painful Ununited Fracture of the Posterior Process of the Talus in an Adolescent Dancer by Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect Volume.

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.

Page 5: Painful Ununited Fracture of the Posterior Process of the Talus in an Adolescent Dancer by Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect Volume.

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.

Page 6: Painful Ununited Fracture of the Posterior Process of the Talus in an Adolescent Dancer by Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect Volume.

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.

Page 7: Painful Ununited Fracture of the Posterior Process of the Talus in an Adolescent Dancer by Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect Volume.

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.