An avulsion fracture is where a fragment of bone is pulled away at the ligamentous or tendinous attachment. This type of fracture often occurs during a high-energy event, such as a car collision or a fall from a significant height. The .gov means its official. The talus contributes to motion not only at the ankle joint but also below the ankle at the subtalar joint and in the midfoot at the talonavicular joint. In some cases, ankle function and walking gait may never return to pre-injury levels. The joint between the calcaneus and the . Calcaneus or heel bone, is one of seven tarsal bones that forms the heel of the foot. In rare cases, some or all of the talus might be missing or broken so badly it will not heal. Controversies remain regarding the preferred treatment strategy for talus fractures. The ankle joint is built of three main bones: the tibia, fibula and talus, and any fracture to these bones is considered a broken ankle. Talus fracture causes significant ankle pain, difficulty bearing weight on the ankle,and swelling around the ankle joint. Matthews AH, Stitson D. Osteonecrosis (avascular necrosis). the talonavicular joint, which has a complicated biomechanical function that controls flexibility of the foot and the arch of the foot. One of the bones comprising the ankle is the talus bone which forms part of the foot. Foot Ankle Orthop. Even with surgical treatment of a talus fracture, the development of arthritis is common. Immediate first aid for a talar fracture is to apply a well-padded splint around the back of the foot and leg from the toe to the upper calf. The most common type of ankle dislocation is the posterior dislocation, where the talus moves backward in relation to the tibia. This type of fracture commonly occurs during a high-energy event such as a car crash or a fall from a ladder when the heel is crushed under the weight of the body. The first step in treatment is to place you in a splint to keep the foot and ankle from moving, which can help with the pain. 16% (284/1725) If these don't show a fracture, a computed tomography (CT) scan may be ordered. [Surgical management of talus fractures: mid-term functional and radiographic outcomes]. However, most orthopaedic surgeons do not recommend removal of the plate and screws unless there are problems with pain or infection. A calcaneus fracture is a fracture of the heel bone. A talar fracture that doesn't heal properly will create problems for you later. The CT scan will help your surgeon to decide if surgery is needed and to see if any other bones in the foot are broken. A fracture can result and this will cause pain at night time. 1. However, most people, depending on the type and severity of the fracture, are able to return to most work and recreational activities. Ashlee MacDonald, MD and Gillian Soles, MD Nontraumatic - include idiopathic (no cause is ever found), steroids (e.g. Plates and screws are used to hold them in place. This is to keep your foot still and allow your bones and soft tissues to heal. The ligaments can also be injured and cause the talus to become unstable in the ankle joint. Rosemont, IL 60018-4975, Phone: (847) 698-1631 Your surgeon will determine how to best approach the fracture and realign the bones. Walking and weight bearing on the foot cannot occur for eight to 12 weeks. There are three main classifications: Minimally displaced. Therefore, most talus fractures require a minimum of six to 12 weeks of protection from weight-bearing. An avulsion fracture occurs when a small chunk of bone attached to a tendon or ligament gets pulled away from the main part of the bone. Foot Ankle Clin. Your recovery goal is to treat your symptoms and restore pain-free, pre-injury ankle function. This injury can be very debilitating with persistent pain, stiffness and swelling even after an excellent non-surgical or surgical treatment. It takes two to three months before the patient is allowed to walk and put weight on the talus again, after the fracture. They can also be injured in connection with ankle fractures. The talus is kept in place by strong ligaments (which connect bone to bone). 1% (15/1725) 3. The talus bone is critical as it absorbs the forces of walking, standing and running and transfers them to the other bones in the foot (1).Running after talonavicular fusion is often impaired, shortened by concentrated pain and tense, overworked and neighboring ligaments. Methods:: This is a retrospective outcome study of 84 patients with an average follow-up time of 9.1 years. The talus bone also forms joints with several other small bones of the foot including the navicular and calcaneus (figure 2). The recovery time for an ankle dislocation depends upon the extent of the injuries and whether surgery is needed. All of the four smaller toes begins with a metatarsal bone in the forefoot. 8 In more significant injuries, the time may be longer. Schwartz AM, Runge WO, Hsu AR, Bariteau JT. Treatment for a talus fracture must begin immediately. Once the bone is healed, exercise and physical therapy is started to maximize the function of the ankle. This occurs as tendons can bear more load than the bone. There are three joints: The talus has no muscular attachments and is mostly covered with cartilage, which makes injuries difficult to heal. For a normal fracture, broken talus recovery time usually takes between six to eight weeks. Foot Ankle Orthop. In: Stat pearls [Internet]. The site navigation utilizes arrow, enter, escape, and space bar key commands. It's also a unique bone, as it's over half covered with cartilage thatprovides cushion and allows bones to move more freely against each other. The middle phalanx comes next. The recovery from a talus fracture can be lengthy because until the bone is healed, you cannot place weight on your foot. Open Orthop J. Calcaneus fractures are rare, although they are the most commonly fractured tarsal bone. Accessibility You should expect some swelling around the foot for several months after the procedure. Because the talus is important for ankle movement, a fracture often results in substantial loss of motion and function. Evidence-Based Medicine Resource List Overview, OTA SOMOS Military Traveling Fellowship Program, IOTA Special Issue: Orthopaedic Trauma Care: Global Approaches During a Pandemic, Research Volunteer Mentoring Program Overview, OTA Support of Federal Grant Applications, OTA Kathy Cramer Young Clinician Scholarship, The Issue of the Surprise-Billing Rules in Plain English, Disaster Management and Emergency Preparedness, Disaster Management and Emergency Preparedness Overview, OTA Orthopaedic Trauma References & Resources, Brendan M. Patterson, MD, OTA President - Press Release, Lifetime & Planned Giving Donors Overview, Corporate & Foundation Donor Archive Overview, Exhibits & Marketing Partnerships Overview, Sponsorship Right of First Refusal Guidelines, Video Library: Annual Meeting & Conferences, American Orthopaedic Foot and Ankle Society. The neck is between the body of the talus bone, located under the tibia, and the head, located further down the foot. During a physical examination, your doctor will look at your foot and ask how the injury happened. orthopedics today | the talus connects the foot to the lower leg and is crucial for foot and ankle mobility, but it receives a low blood supply compared to its neighboring bones the. We recorded a complication rate of 56%. Repeat radiographs. Three major complications commonly occur with talus fractures: Other potential problems include infection, nonunion, foot deformity, and chronic pain.. These injuries often also involve lower back injuries. The first step in treatment is to place you in a splint to keep the foot and ankle from moving, which can help with the pain. Bone scan. Level III, comparative study. AVN can be caused by two large categories: Trauma - a fracture (breaking) of the bone disrupts the blood supply to the bone. If this is the case, it can be difficult to heal the wounds. Some people experience continued pain, stiffness, and swelling even after their bones heal. 2014 Jan;38(1):149-54. doi: 10.1007/s00264-013-2164-2. Doctors will order x-rays to diagnose the injury and will also tell doctors . Patient reported outcome of 33 operatively treated talar fractures. Where the talus meets the foot bones, it forms the subtler joint. Hi, i am a 26 yr old, consider myself quite healthy, haha. Talus fracture recovery Pain management At around two weeks After four weeks After two to three months Physical therapy Weight-bearing Talus fracture Talus fracture is a break in the talus bone that forms the ankle. I broke it on a saturday night and by sunday morning . Arthritis is common after a talus fracture because when the cartilage is injured, the normally smooth joint surface becomes uneven. Content is reviewed before publication and upon substantial updates. Other examples of bone injuries include stress fractures, osteochondral fractures and a variety of different patterns of bone fractures. The surgery also will restore the function of the ankle and subtalar joints. WHAT IS A TALAR DOME FRACTURE. As the bone remains aligned after the blow, it is usually easier to treat a non-displaced fracture as compared to a displaced fracture. J Bone Joint Surg Br. Talus fractures are a difficult injury. Federal government websites often end in .gov or .mil. Because talus fractures often occur in high-energy situations such as falls from height, an injury to the cartilage often occurs. Minimally displaced or stable fractures A small section of your talus bone that is attached to a ligament or tendon pulls away from the rest of the bone, causing a talus avulsion fracture. These irregularities can lead to accelerated wear in the joint, and ultimately to arthritis. During the time in the cast, the ligaments will creep (shorten) and the muscles will atrophy so you'll be both stiff and weak right out of the gate. The talus is a strong bone since it bears the entire body weight. The ankle joint is composed of the tibia, fibula and talus bones. Buddy Taping/6 weeks: Non displaced fracture is treated with Buddy Taping and rigit sole shoes to limit joint movements.Buddy taping is taping the fractured toe to the next. It can be caused by traumatic traction (repetitive long-term or a single high impact traumatic traction) of the ligament or tendon. . This includes the development of chronic pain, arthritis, or even bone collapse. Read More. Secondarily, we identified those factors that affected the outcome and defined strategies to improve the outcome. A talus fracture can cause significant loss of function in your ankle. Talus fractures. You may be placed in an external fixator to hold the bones in place. Talus fractures may be treated in a cast or surgery may be recommended. Diagnostic injection. What is a bone bruise? Cells and tissues proliferate, hormones are released, antioxidants and amino acids are brought into play, and . An avulsion fracture occurs when a tendon or ligament that is attached to the bone pulls a piece of the fractured bone off. In rare cases, if the bones haven't moved out of place, a talar fracture can be treated without surgery. 2019 Dec;40(12):1403-1407. doi: 10.1177/1071100719868712. In other cases, however, the bone cells die without a blood supply, leading to a gradual and very painful collapse of the bone. Russell TG, Byerly DW. All fractures healed confirmed by X-ray films and the healing time ranged from 10 to 16 weeks (mean, 11.8 weeks). Those are the only types of talus fractures that can reasonably be treated without surgery. Talus fracture management. . A talus fracture is a broken bone in your ankle. Bone stress injuries occur because of an unfamiliar increase in physical activity and is related to overuse, under recovery and several considerations that result in the bone not being able to keep up with the required adaptations. Bethesda, MD 20894, Web Policies All Rights Reserved. There are early and late complications. Epub 2018 Jan 2. FOIA Early complications most often are related to the significant swelling that can occur after these injuries, which can cause wound problems and infection. 69% (1182/1725) 4. The talus meets your tibia (shin bone) and fibula (calf bone) to form your ankle joint. These symptoms warrant going to the healthcare provider right away. ; A bone bruise is characterised by three different kinds of bone injuries including: sub-periosteal hematoma, inter-osseous bruising and a sub-chondral lesion, or a combination . Patients who smoke or have diabetes or poor circulation may be treated without surgery due to the very high risk of developing complications if surgery is performed. Most commonly, the talus breaks in its mid-portion called the neck. Figure 1 - Talus, Tibia and Fibula Anatomy Figure 2 - Talus Stress Fracture Anatomy Early JS. Do the plates and screws need to be removed? The weight of the body is carried primarily by the two largest tarsal bones, the talus, which articulates with the tibia and fibula superiorly, the strong calcaneus, which forms the heel of the foot. 2020 Sep 24;5(3):2473011420948500. doi: 10.1177/2473011420948500. A 36-year-old male alleged that he suffered an avulsion fracture to the navicular bone in his foot, and a talus fracture when he was struck by the male defendant's box truck, during the course and scope . The orthopaedic surgeon realigns the broken bone with metal screws placed inside the bone. Sometimes, the blood supply simply returns to the bone and normal healing begins. You have to wear it until your bone heals completely. 2018;3(3):85-92. doi:10.1302/2058-5241.3.170040. The minimum follow-up was 24 months with an average follow-up of 90 months (36 months). The recovery from a talus fracture can be lengthybecause until the bone is healed, you cannot place weight on your foot. Read our, Physical Therapy Exercises After a Tibial Plateau Fracture, Medial Malleolus Fracture and Broken Ankle Treatment, Bimalleolar and Trimalleolar Ankle Fractures, Common Fractures of the Leg, Ankle, and Foot, Causes of a Dislocated Hip Injury and Recovery, Causes of Heel Pain and Treatment Options, Jones Fracture of the Foot: Symptoms, Treatment, and Recovery, Achilles Tendon Pain: Symptoms, Causes, and Treatments, The diagnosis, management and complications associated with fractures of the talus, Talar body reconstruction for nonunions and malunions, Talar process fractures: An overview and update of the literature. Use the information below to gain a better understanding of your injury and what can be done to maximise your recovery. Surgery is usually done by making two cutsone on the inside part of the foot and the other on the outside part of the foot. More and more talar fractures are due to snowboarding, which uses a soft boot that isn't rigid enough to prevent ankle injuries. 2017;11:460-466. doi:10.2174/1874325001711010460. This often improves over time, but you may always notice a difference compared to your other side. The talus (ankle bone) sits within the ankle mortise or hinge, which is made up of the two leg bones, the tibia and fibula. MeSH This also helps take the pressure off of the skin and other soft tissues. The primary goal of this study was to evaluate the long-term outcome after operative management of talus fractures. Bone healing, or fracture healing, is a proliferative physiological process in which the body facilitates the repair of a bone fracture.. Generally, bone fracture treatment consists of a doctor reducing (pushing) displaced bones back into place via relocation with or without anaesthetic, stabilizing their position to aid union, and then waiting for the bone's natural healing process to occur. [edit | edit source]A bone bruise is a type of bone injury. You may have to wear a cast or splint to prevent further damage. With continued exercise the pain may reach a point where activities are too painful to perform and the inside of the ankle is sore during walking, rest and even at night. Any small fragments of bone discovered during this procedure will be removed and bone grafts will be used to help restore the shape of the joint. After the cast has been removed, your doctor may give you exercises to restore the strength and range of motion of your foot and ankle. X rays and images from the personal collection of Dr. MacDonald, Dr. Soles and Christopher Domes, MD, Orthopaedic Trauma Association The severity of trauma: A fracture in which the bone is crushed into multiple pieces takes more time to heal. The weight of the body falls on the ankle joint and leads to a bruise which can take upto 3 months to heal. If your symptoms become so severe, additional procedures, such as a joint fusion or ankle replacement, might be done. and transmitted securely. The mechanism of injury (like a fall of a ladder) also suggests a more severe injury like a broken talus (or even a broken heel bone, see talk). It forms the "floor" of the ankle joint. In rare cases, if the bones haven't moved out of place, a talar fracture can be treated without surgery. Success of operative treatment depends on the occurrence of osteoarthritis postoperatively, type of fracture, and quality of fracture reduction. Edited by the OTA Patient Education Committee Your talus is the main connection between your foot and your leg. If that happens, your surgeon may fuse the remaining bone with screws, long rods (nails), or plates and screws. Postoperative radiographic analysis confirmed the difficulty of obtaining an anatomical reduction for talar neck or body fractures. The most common symptoms of talus fractures include:. . It joins with the two leg bones (tibia and fibula) to form the ankle joint and allows for upward and downward motion of the ankle. This usually takes 8 to 12 weeks. The talus is one of the hardest bones of the body, but during some higher energy sprains, the bone can get hit so hard it develops a fracture known as an osteochondral injury to the talar dome. Calcaneus fractures occur when a force that is stronger than the calcaneus itself is applied to the bone. Kopp L, Obruba P, Riegl J, Meluzinov P, Edelmann K. Acta Chir Orthop Traumatol Cech. Avulsion fractures can happen anywhere in the body but are most. It is seen after ankle sprain when the person lands after an injury on the ankle with the foot twisted inwards. Another common site for talus fractures is along the outside of the bone where it juts out slightly. Level of evidence:: 2021 Aug 16;22(1):698. doi: 10.1186/s12891-021-04572-3. The bone lesions on the lateral or outside portion of the talus are most often related to trauma. A fracture to the talus bone is suspected based on the location of pain and swelling at the top of the foot, near the ankle. Yaw Boachie-Adjei, MD, is a board-certified, double-fellowship Orthopedic Surgeon. If you need medical advice, use the "Find a Surgeon" search to locate a foot and ankle orthopaedic surgeon in your area. The talus is the bone in the back of the foot that connects the leg and the foot. This type of procedure is called "open reduction internal fixation." During or after the healing process, your healthcare provider may start you on a rehab program of physical therapy to regain: You may have to use a cane or wear a special boot and may not be able to put your full weight on your foot for two to three months. It joins with the two leg bones (tibia and fibula) to form the ankle joint and allows for upward and downward motion of the ankle. However, if you've had surgery, it can take longer. It develops at the site of the fracture, around 2 to 6 weeks . An official website of the United States government. Those with active jobs may not be able to return for six months to a year. Talus fractures are usually classified based on the severity of the injury and how much the bone is moved from its normal position. Because so much of the bone is covered with cartilage, arthritis may occur above the talus at the ankle joint, or below the talus at thesubtalar joint. Ankle dislocations are more often associated with fractures of the bones that make up the joint. official website and that any information you provide is encrypted This can take time and be quite challenging for some types of ankle fractures. (So the worse the injury, the more on-going issues you're likely to have.). He or she will generally check to see that the nerves of your foot are working properly. Depending on the extent of the fracture, the broken ankle recovery time period could vary, but if the correct steps are taken, recovery could be more efficient and even take less time. The healing from fractures depends upon the following factors: Age: Fractures heal faster and better in kids as compared to the elderly. Most of the talus bone is covered by cartilage, which protects the bone. Talus fractures were almost unheard of a hundred years ago. Care Plans Foot Talus fracture Foot fracture - 6 weeks in a boot Foot fracture - 6 weeks in a boot This information will guide you through the next 6 weeks of your rehabilitation. 2000-2022 The StayWell Company, LLC. Stable fractures, listed above as type 1 talus fractures, are those in which the bone is still in the proper anatomical position. Cedars-Sinai has a range of comprehensive treatment options. M ost fractures of the talus do require surgery to reset the bone and help minimize later complications. Keywords: These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Injuries to the talus require high-energy trauma and may take weeks to months to fully recover. How long will I be out of work? MRI of ankle. All Rights Reserved. Talus fractures have a major long-term impact on ankle and hindfoot function and on physical health. The blood supply to the talus comes from several small arteries. If there is no blood supply to the bone, the bone cells may die. Your body needs time to mend itself and create new bone; a fracture generally takes between 6 and 12 weeks to heal substantially. Indian J Orthop. The mean numeric rating scale score was 3.2. Talus fractures are most often seen in car and motorcycle crashes,snowboarding accidents, and severe falls. Bone bruises are common in the ankle region especially in the lower ends of the tibia or the talus bone. If there is loss of blood flow to the talus and avascular . When two bones come together they form a joint. As you move down the foot from the metatarsal, there are three smaller bones (phalanges). Clipboard, Search History, and several other advanced features are temporarily unavailable. Wijers O, Engelmann EWM, Posthuma JJ, Halm JA, Schepers T. Foot Ankle Int. Classification of talus fractures. The talus is the bone in the back of the foot that connects the leg and the foot. Aviator's astragalus. Epub 2019 Aug 23. Because of the pattern of blood supply to the talus bone, it can be disrupted when the bone is injured in a fracture. Up and Down arrows will open main level menus and toggle through sub tier links. Talar process fractures: An overview and update of the literature. A 501(c)(3) non-profit organization. As you heal, the doctors will take more x-rays to monitor how your bones are healing. Please enable it to take advantage of the complete set of features! talus bone fracture recovery time | talus bone fracture treatment | talus fracture | in hindi - YouTube Dr Anil MeenaSenior Orthopaedic Physiotherapist Head Of DepartmentYadav. Over time, your surgeon will likely want more x-rays, not only to check the alignment of the fracture, but also at the quality of the bone. The joint enables the ankle to move in a . 2008;13(4):635-57. doi:10.1016/j.fcl.2008.08.005, Sundararajan SR, Badurudeen AA, Ramakanth R, Rajasekaran S. Management of talar body fractures. When this occurs, the heel can widen, shorten, and become deformed. The content of FootCareMD, including text, images, and graphics, is for informational purposes only. Common causes of dislocations include: falls, motor-vehicle crashes, and; sports injuries. Talus fractures are classified based on how far the bone fragments have moved from their normal position. Stress fractures. Would you like email updates of new search results? A well-padded splint should be applied around the back of the foot and leg from the toe to the upper calf. If you put too much weight on your foot before the bones heal, the fracture may move. Left and right arrows move across top level links and expand / close menus in sub levels. Talus fractures are quite severe injuries and can lead to longstanding problems with the foot and ankle. Therefore, most talus fractures require a minimum of six to 12 weeks of protection from weight-bearing. There is likely to be tenderness and possibly swelling over the sinus tarsi. Delayed surgery after trauma was associated with better outcome measures. 9400 W. Higgins Road, Suite 305 After the cast has been removed, your doctor may give you exercises to restore the strength and range of motion of your foot and ankle. Expect to have an X-ray and ankle exam to determine whether it's a fracture or other type of injury. Last is the distal phalanx. Wijers O, Posthuma JJ, De Haas MBJ, Halm JA, Schepers T. J Foot Ankle Surg. PMC The talus (or "ankle bone") connects your leg to your foot. Hamilton GA, Doyle MD, Castellucci-Garza FM. Don't put any weight on the foot. American Orthopaedic Foot & Ankle Society, The American Orthopaedic Foot & Ankle Society (AOFAS) offers information on this site as an educational service. In more severe injuries, the talus can break and dislocate (come out of the joint), either at the ankle joint, the subtalar joint, or both. Fewer are due to falls from high places. They represent one of the most common types of talus fracture (~30-50%), along with chip and avulsion fractures of the talus (~40-49%). You may also need a CT scan of the bone. Xue Y, Zhang H, Pei F, Tu C, Song Y, Fang Y, Liu L. Int Orthop. In: StatPearls [Internet]. He or she will examine your foot for evidence of swelling or bruising around the ankle. This joint allows for side to side motion of the foot and helps us when we walk on uneven ground. If the fracture is not out of position, a cast may be sufficient for treatment. Your doctor may probably order foot and ankle X-rays. They are commonly injured in the case of ankle sprains. 2022 Dotdash Media, Inc. All rights reserved. Verywell Health's content is for informational and educational purposes only. He served as assistant team physician to Chivas USA (Major League Soccer) and the United States men's and women's national soccer teams. In this case, your surgeon may choose to keep you in a splint until the swelling goes down. When part of this bone fractures, the ankle can become unstable. The talus bone sits between the bones of the lower leg and the calcaneus (heel bone). Bookshelf If you would like to speak to one of our avulsion injury attorneys regarding your chip fracture, call us today at 888-804-5044 or contact us online. Once the bones are healed the hardware serves no purpose. for professional medical advice, diagnoses or treatments. This is a retrospective outcome study of 84 patients with an average follow-up time of 9.1 years. Recovery after fractures of the talus can be prolonged. The https:// ensures that you are connecting to the Therefore, we recommend reviewing the quality of the reduction postoperatively on CT. 1952;34-B(4):545-66. Picture of bones in the foot When the talus is fractured, this blood supply can be torn, leading to death of the talus. This is usually temporary for a couple of weeks until the swelling goes down. A bone fracture can be a defining moment in a woman's life the break itself is an isolated incident, while the healing process can take weeks, months, or even years depending on the injury. We assessed the functional results, return to daily activities, and general health status using the Foot Function Index-5pt, a numeric rating scale for pain, and the Short Form-36 Health Survey. TREATMENT Goals of treatment: 1. Created for people with ongoing healthcare needs but benefits everyone. This is called avascular necrosis, and it is a common complication after a talus fracture. The talus is a bone in your foot that forms part of the ankle joint. The body includes the dome of the talus, which articulates with the ankle joint above. Symptoms get worse with exercise, particularly running, and ease with rest. Osteonecrosis, or avascular necrosis, is a problem that is found commonly in the talus. Whether you had surgery or not, you will usually not be allowed to put any weight on your foot. The content is not intended to substitute 2020 Feb 13;5(1):2473011419900766. doi: 10.1177/2473011419900766. This dead bone can be total, and include the entire talus, or patchy, without much destruction to the bone. Fractures of the Talus: Current Concepts. The bones of the lower leg ride on top and around the sides to form the ankle joint. Epub 2013 Dec 3. A talar fracture is a break in the talus bone that often involves both of these important joints. Your doctor will also check to see that the blood flow to your toes hasn't been cut off and that you have normal muscle tension in your foot. Even with surgery to realign the bone and hold the fragments in position, damaged blood supply may lead to this problematic complication. Talus fractures are typically very painful. McBride TJ, Wilke A, Chisholm J, Martin KD. 2018 Apr;35(2):199-221. doi: 10.1016/j.cpm.2017.12.004. Depending on the extent of related fractures and the need for . The talus (ankle bone) sits within the ankle mortise or hinge, which is made up of the two leg bones, the tibia and fibula. Unable to load your collection due to an error, Unable to load your delegates due to an error. Treatment of a talus fracture depends on the extent of the injury. Treatment usually requires surgery, and the recovery process can take months. X-rays help visualize the extent of joint involvement and show the location and size of bone fragments. The content is not intended to substitute Indian J Orthop. Thank you, {{form.email}}, for signing up. When this happens, you may eventually develop arthritis in the joint. Your doctor may give you pain relief medications to help reduce swelling. The foot should then be elevated above the heart level and ice should be applied for at least 20 . Non-surgical TreatmentNon-surgical treatment is recommended for fractures in which the pieces of bones remain close together and the joint surfaces are well-aligned. These fractures can occur in many different situations, but most commonly occur in high-energy trauma situations such as car crashes or falls from . This is a small canal where nerves pass into the ankle. Initially, the pain may only be present after exercise. Talus fractures are typically very painful. Background:: Talus fractures (other than neck) are rare fractures of the talus that comprise of talar body fractures, lateral process fractures, posterior process fractures, and talar head fractures. 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