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OrthoVellum

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Trauma
intermediate
X-Type

Talar Neck Fracture

Foot Injuries

A 30-year-old motorcyclist is brought to the emergency department after a high-speed collision. He has severe ankle pain and deformity. Radiographs reveal a displaced fracture through the talar neck with posterior subtalar dislocation. The foot is plantigrade but the hindfoot is shortened. The orthopaedic team is concerned about the blood supply to the talus. Regarding talar neck fractures:

Mark each as TRUE or FALSE

A

The talus has a predominantly intra-articular surface (60-70%) with no muscular attachments, making ...

B

The Hawkins classification describes talar neck fractures based on displacement and associated dislo...

C

The talus has excellent blood supply from multiple direct muscular attachments; displaced fractures ...

D

The Hawkins sign is subchondral lucency in the talar dome seen at 6-8 weeks post-injury; it indicate...

E

Treatment of displaced talar neck fractures requires anatomic open reduction and stable internal fix...

Answer the questions to see explanations

Click T (True) or F (False) for each option