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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

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World Journal of Orthopedics 2021年第5期12卷 329-337页

作者： luca Monestier Giacomo Riva luca faoro Michele Francesco Surace Orthopedic and Trauma Unit ASST Sette LaghiVarese 21100Italy Residency Program in Orthopedics and Trauma University of InsubriaVarese 21100Italy Department of Biotechnology and Life Sciences University of InsubriaVarese 21020Italy

BACKGROUND Talar fractures are exceedingly rare in *** are very few studies on the clinical aspects,the long-term outcomes and the appropriate treatment of these fractures in pediatric *** mechanism of trauma consists of the application of a sudden dorsiflexion force on a fully plantar-flexed *** 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 *** 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 *** 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 ***,surgical open reduction and fixation with two headless screws was *** girl was assessed regularly,and plain films at follow-up revealed complete healing of the *** six months after surgery,the patient returned to pre-injury sport activities reporting no *** Injuries of the talar head in childhood should be considered as transitional *** reduction with internal fixation aims to reduce malalignment and *** tomography scans are recommended in these cases.

关键词： Head Talus Transitional fracture Child Surgical treatment Case report

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