Fractures and Dislocations of the Talus and Calcaneus by Mark R. Adams & Stephen K. Benirschke

Author:Mark R. Adams & Stephen K. Benirschke
Language: eng
Format: epub
ISBN: 9783030373634
Publisher: Springer International Publishing

The sagittal images contain the same horizontal secondary fracture line as the contralateral side (plantar to the posterior facet and exiting the posterior tuberosity), but there is a vertical fracture line separating the posterior facet from the tuberosity as well. The vertical fracture line likely represents a tension failure of this fragment; the entire tuberosity continued to displace cranially while the posterior facet was trapped caudal to the talus. Therefore, this fracture pattern is more consistent with a “broken tongue” than a true joint depression. This distinction is important for surgeons who believe that gastrocnemius equinus contributes to the creation of a tongue type injury, and include a gastrocnemius recession as part of their management protocol for patients with tongue type patterns (Fig. 14.19).

Fig. 14.19Sagittal CT images

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.