Rare shear-type fracture of the talar head in a thirteen-year-old child—Is this a transitional fracture:A case report and review of the literature  

作　　者：Luca Monestier Giacomo Riva Luca Faoro Michele Francesco Surace 

机构地区：[1]Orthopedic and Trauma Unit,ASST Sette Laghi,Varese 21100,Italy [2]Residency Program in Orthopedics and Trauma,University of Insubria,Varese 21100,Italy [3]Department of Biotechnology and Life Sciences,University of Insubria,Varese 21020,Italy

出　　处：《World Journal of Orthopedics》2021年第5期329-337,共9页世界骨科杂志（英文版）

摘　　要：BACKGROUND Talar fractures are exceedingly rare in childhood.There are very few studies on the clinical aspects,the long-term outcomes and the appropriate treatment of these fractures in pediatric patients.The mechanism of trauma consists of the application of a sudden dorsiflexion force on a fully plantar-flexed foot.Traumatic mechanism,symptoms and imaging of injuries of the talar head are similar to transitional fractures that are normally described at the distal epiphysis of the tibia:the so-called transitional fracture is defined as an epiphyseal injury when the growth plate has already started to close.CASE SUMMARY A thirteen-year-old girl reported a high-energy trauma to her right foot,due to falling from her horse.X-rays at the Emergency Department were negative.Because of persistent pain,the patient was assessed by an orthopedic surgeon after two weeks and computed tomography scans revealed a misdiagnosed displaced shear-type fracture of the talar head.Hence,surgical open reduction and fixation with two headless screws was performed.The girl was assessed regularly,and plain films at follow-up revealed complete healing of the fracture.Within six months after surgery,the patient returned to pre-injury sport activities reporting no complications.CONCLUSION Injuries of the talar head in childhood should be considered as transitional fractures.Open reduction with internal fixation aims to reduce malalignment and osteoarthritis.Computed tomography scans are recommended in these cases.

关 键 词：HEAD TALUS Transitional fracture CHILD Surgical treatment Case report 

分 类 号：R726.8[医药卫生—儿科]