PubMed · 12678378
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S Coleridge, D Ricketts. 2003. The floating shoulder: a multicentre study.. https://pubmed.ncbi.nlm.nih.gov/12678378/
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Talar head and body injuries are not recognized easily and can create significant long-term disability when missed. Careful investigation of any injury about the ankle requires clinical and radiographic examination. A CT scan is extremely helpful in diagnosing and treating these injuries. Displaced fractures require open reduction of the major joint surfaces and internal fixation. Prolonged nonweight bearing and immobilization is the norm. Despite aggressive management, complications that involve avascular necrosis and posttraumatic arthritis to the subtalar and ankle joints occur frequently.
Talus fractures are rare injuries that account for approximately 3% of all foot fractures; talar neck fractures account for almost 50% of all talus fractures. The appropriate diagnosis and treatment of these fractures play an important role in the patient's outcome. Treatment has evolved slowly throughout the years, from closed treatment to open reduction and internal fixation (ORIF). The treatment of type I and type II talar neck fractures is not uniform in the orthopedic community. The option of closed reduction versus ORIF is dependent upon the degree of injury, surgeon experience, and preference.