Concomitant Fracture of the Lateral Process of the Talus and the Sustentaculum Tali of the Calcaneus

Kyoung-Jin Park; Byung-Ki Cho; Yong-Min Kim; Dong-Soo Kim; Eui-Sung Choi; Hyun-Chul Shon; Sang-Wook Keum

doi:10.4055/jkoa.2011.46.3.262

Journal List > J Korean Orthop Assoc > v.46(3) > 1013077

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Park, Cho, Kim, Kim, Choi, Shon, and Keum: Concomitant Fracture of the Lateral Process of the Talus and the Sustentaculum Tali of the Calcaneus

Case Report

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2011; 46(3): 262-267.

Published online: 30 June 2011

DOI: https://doi.org/10.4055/jkoa.2011.46.3.262

Concomitant Fracture of the Lateral Process of the Talus and the Sustentaculum Tali of the Calcaneus

Kyoung-Jin Park, M.D., Byung-Ki Cho, M.D., Yong-Min Kim, M.D., Dong-Soo Kim, M.D., Eui-Sung Choi, M.D., Hyun-Chul Shon, M.D., Sang-Wook Keum, M.D.

Department of Orthopaedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea.

Correspondence to: Byung-Ki Cho, M.D. Department of Orthopaedic Surgery, Chungbuk National University Hospital, 62, Gaesin-dong, Heungdeok-gu, Cheongju 360-711, Korea. TEL: +82-43-269-6077, FAX: +82-43-274-8719, titanick25@yahoo.co.kr

Received 9 September 2010 Accepted 7 February 2011

(open-access):

"This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited."

Abstract

Concomitant fracture of the lateral process of the talus and the sustentaculum tali of the calcaneus is a rare injury. There are few references in the literature that comment on the precise injury mechanism and the operative method for this type of fracture. We achieved satisfactory clinical results in 2 cases of concomitant fractures of the lateral process and the sustentaculum tali resulting from traffic accidents. We used a method of open reduction and internal fixation. We report these cases with a review of the relevant foreign literature because of no previous report in Korean literature.

Keywords: lateral process of talus, sustentaculum tali of calcaneus, fracture, open reduction and internal fixation

Figures and Tables

Figure 1

(A) Preoperative radiograph showing a fracture of the lateral process of the talus. (B-D) Preoperative CT scans showing the involvement of subtalar joint and displaced fracture fragments.

Figure 2

Operative photograph showing the displaced fracture of talar lateral process which is involving posterior facet of subtalar joint.

Figure 3

(A) Operative photograph showing the open reduction for comminuted fracture of calcaneal sustentaculum which is involving middle facet of subtalar joint (arrow: groove for flexor hallucis longus tendon). (B, C) Operative photographs showing the internal fixation with headless compression screws, and structures around the sustentaculum tali (TP, tibialis posterior tendon; FDL, flexor digitorum longus tendon; FHL, flexor hallucis longus tendon).

Figure 4

Postoperative radiographs showing the internal fixation with headless compression screws.

Figure 5

(A) Preoperative radiographs showing a fracture of the sustentaculum tali of the calcaneus. (B, C) Preoperative CT scans showing the concomitant fracture of talar lateral process and sustentaculum tali of calcaneus.

Figure 6

Postoperative radiographs showing the internal fixation with headless compression screws.

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