A talus fracture involves a crack or break in the talus bone. It is important to note that the talus bone or ankle bone is compromised of a group of small-sized bones amidst the heel bone and 2 bones of the lower leg.
In most cases, the injury is brought about by high-velocity impact from sports, vehicular accidents or falls from a great height. Generally, the injury is common among young athletes who engage in high-impact or contact sports such as basketball or football.
Other possible causes of the fracture include falls from a significant height particularly when landing on the feet and direct trauma to the ankle during vehicular accidents.
What are the indications?
The usual indications of a talus fracture include the following:
- Intense and abrupt ankle pain
- Tenderness and swelling in the site of injury
- Evident bruising
- Unusual deformity of the ankle
- Inability to place any weight on the ankle or bear any pressure on the foot
Management of a talus fracture
Generally, most cases of talus fracture necessitate surgical intervention. Nevertheless, the injury can also be managed using conservative measures.
Some of the conservative measures include the following:
- Avoidance of any activity that worsens the condition of the ankle or foot. The individual is instructed to refrain from any physical activities until the symptoms subside.
- Apply an ice pack or cold compress on the injured site to lessen the pain and swelling.
- Immobilization of the ankle or foot using a cast to limit any movement.
- Medications such as non-steroidal anti-inflammatory drugs (NSAIDs) might be given to reduce the swelling and pain.
- Physical therapy exercises are started once the cast is removed to strengthen the foot muscles, lessen stiffness and improve flexibility.
In cases of talus fractures where surgery is needed, open reduction and internal fixation (ORIF) is performed.
More Information / Disclaimer
The information posted on this page on a talus fracture is for learning purposes only. Learn to recognize the signs and how it is treated by taking a standard first aid course with Mississauga First Aid.