Practical points. The cuboid bone is one of the seven tarsal bones located on the lateral (outer) side of the foot. An ankle fracture is a break of one or more of the bones that make up the ankle joint. The talus may also fracture through a prominence on the outside of the bone called the lateral process. The foot (PL: feet) is an anatomical structure found in many vertebrates. Will I need to have more than one surgery? Tell your healthcare provider how you are feeling. The ankle joint allows your foot to move up and down. Abruptly "rolling" or rotating your ankle. Las caractersticas anatmicas de la articulacin dadas por la presencia del malolo peroneo algo ms distal que el tibial de alrededor de 1,5 centmetros, la lnea articular vista desde el plano lateral en sentido postero-anterior y supero-inferior, el mayor ancho del astrgalo en la parte anterior, predisponen a los traumatismos. Pediatric Pelvis Trauma Radiographic Evaluation, Pediatric Hip Trauma Radiographic Evaluation, Pediatric Knee Trauma Radiographic Evaluation, Pediatric Ankle Trauma Radiographic Evaluation, Distal Humerus Physeal Separation - Pediatric, Proximal Tibia Metaphyseal FX - Pediatric, Chronic Recurrent Multifocal Osteomyelitis (CRMO), Obstetric Brachial Plexopathy (Erb's, Klumpke's Palsy), Anterolateral Bowing & Congenital Pseudoarthrosis of Tibia, Clubfoot (congenital talipes equinovarus), Flexible Pes Planovalgus (Flexible Flatfoot), Congenital Hallux Varus (Atavistic Great Toe), Cerebral Palsy - Upper Extremity Disorders, Myelodysplasia (myelomeningocele, spinal bifida), Dysplasia Epiphysealis Hemimelica (Trevor's Disease). Spinal fractures are usually the result of significant trauma to a normally formed skeleton or the result of trauma to a weakened spinal column. Walking with a limp for a few months after your surgery. The tendons of these muscles merge to be inserted onto the calcaneus as the Achilles tendon. The metatarsals are the bones that make up the main part of the foot in humans, and part of the leg in large animals or paw in smaller animals. You will be in a cast or brace for several weeks after surgery. Posttraumatic arthritis is a type of arthritis that develops after an injury. The treatment is immobilization in a cast. Patients typically present with pain, swelling, and inability to bear weight on the ankle joint. Excessive strain on the tendons and ligaments of the feet can result in fallen arches or flat feet.[5]. Like an overpronator, an underpronator does not absorb shock efficiently but for the opposite reason. The fimbriae of the uterine tube, also known as fimbriae tubae, are small, fingerlike projections at the end of the fallopian tubes, through which. It is interesting to note that the word chauffeur comes from the French for "someone who warms" the car engine. [4], The human foot has two longitudinal arches and a transverse arch maintained by the interlocking shapes of the foot bones, strong ligaments, and pulling muscles during activity. (OBQ13.187) She is able to cross her fingers without difficulty. Copyright 2022 Lineage Medical, Inc. All rights reserved. Each leg is supported by two bones, the tibia on the inner side (medial) of the leg and the fibula on the outer side (lateral) of the leg. Open fractures often involve greater injury to the surrounding muscles, tendons, and ligaments. A bimalleolar fracture is a fracture of the ankle that involves the lateral malleolus and the medial malleolus. It provides connections among the bones of the feet. orbital blow-out fracture; frontal process of the maxilla; Nasal septal hematoma should also be actively assessed. The adductor hallucis acts as a tensor of the plantar arches and also adducts the big toe and might plantar flex the proximal phalanx. Injury was founded in 1969 and is an international journal dealing with all aspects of trauma care and accident surgery.Our primary aim is to facilitate the exchange of ideas, techniques and information among all members of the trauma team. J Am Acad Orthop Surg 2001; 9:114-127. The human leg, in the general word sense, is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or gluteal region. [9], In the deep layer of posterior muscles, the tibialis posterior arises proximally on the back of the interosseous membrane and adjoining bones, and divides into two parts in the sole of the foot to attach to the tarsus. For the unit of measure, see, Deep and superficial layers of posterior leg muscles, Plantar aspects of foot, varying depths (superficial to deep), Tradition of removing shoes in the home and houses of worship, "Isolated Medial Cuneiform Fractures: A Systematic Search and Qualitative Analysis of Case Studies", "Rex Ryan's Apparent Foot Fetish Not Necessarily Unhealthy", https://en.wikipedia.org/w/index.php?title=Foot&oldid=1126521052, Short description is different from Wikidata, Wikipedia articles needing clarification from December 2020, Articles with unsourced statements from November 2013, Creative Commons Attribution-ShareAlike License 3.0. [8], The superficial layer of posterior leg muscles is formed by the triceps surae and the plantaris. The current inch and foot are implied from measurements in 12c. However, the definition in human anatomy refers only to the section of the lower limb extending from the knee to the ankle, also known as the crus or, especially in non-technical use, the shank. [2], The forefoot is composed of five toes and the corresponding five proximal long bones forming the metatarsus. The expression "to put one's best foot foremost first recorded 1849 (Shakespeare has the better foot before, 1596)". Studies have shown[3] that bimalleolar fractures are more common in women, people over 60 years of age, and patients with existing comorbidities. A trimalleolar fracture is a serious injury that can affect your quality of life and cause long term problems: Trimalleolar fractures can have several causes: Historically, adults ages 65 and older are most commonly treated for trimalleolar fractures after tripping and falling. Many talus fractures require surgery because of the high-energy force that creates the injury. They are the intermediate, lateral, and mediate cuneiforms. Younger patients are more likely to develop larger spurs compared with older patients because of greater growth potential. Your ankle is a joint where the talus bone of the foot and the tibia (shin bone) and fibula of the leg connect and move. Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. An important plantar flexor, it is crucial to ballet dancing. Many doctors encourage motion of the foot and ankle early in the recovery period, as soon as your pain allows. On physical examination, she has full, but painful range of motion of her elbow. The proposed classification of Essex-Lopresti fracture-dislocation is based on the severity of radial head fracture 5. type I: large fragments; type II: comminuted; type III: chronic injury with proximal migration of the radial head; Pathology. The inferior articular surface is quadrilateral, and smooth for articulation with the talus. This condition is called avascular necrosis (AVN) or osteonecrosis. Doing too much too soon might cause you to re-injure your ankle. Casting. They'll be able to recommend programs to help you manage your recovery. The talus often breaks in the mid-portion or "neck" of the bone. Terminology. Top It is also known as backfire fracture or lorry driver fracture 1. As with a neutral pronator, an individual who overpronates initially strikes the ground on the lateral side of the heel. All rights reserved. With unstable talus fractures, the blood supply to the bone can be disrupted at the time of the injury. All muscles originating on the lower leg except the popliteus muscle are attached to the bones of the foot. An individual whose bone structure involves internal rotation at the hip, knee, or ankle will be more likely to underpronate than one whose bone structure has external rotation or central alignment. Your doctor will take x-rays to ensure that the bones stay in position and are healing properly. A paw is the soft foot of a mammal, generally a quadruped, that has claws or nails (e.g., a cat or dog's paw). The talus is an important bone of the ankle joint that is located between the calcaneus (heel bone) and the fibula and tibia in the lower leg. Specific treatment depends upon the severity and the type of fracture, so it is important to seek immediate medical attention. Between the toes, the dorsal and plantar interossei stretch from the metatarsals to the proximal phalanges of digits two to five. In the non-weight-bearing leg, the tibialis anterior dorsiflexes the foot and lift its medial edge (supination). We do not endorse non-Cleveland Clinic products or services. This is a natural part of the healing process. With the cuboid serving as its keystone, it redistributes part of the weight to the calcaneus and the distal end of the fifth metatarsal. You can rate this topic again in 12 months. [7], Peroneal group: the peroneus longus arises on the proximal aspect of the fibula and peroneus brevis below it. A trimalleolar fracture happens when you break your lower leg sections that form your ankle joint and help you move your foot and ankle. Elevating the foot above the level of the heart helps to minimize swelling and pain. Resists posterior displacement of the talus. After reviewing your symptoms and medical history, your doctor will do a careful examination. Flexor digitorum brevis flexes the middle phalanges. The adductor hallucis is part of this group, though it originally formed a separate system (see Contrahens). You might walk with a limp even after your fracture heals. This website also contains material copyrighted by third parties. You might be taking medication for pain that could affect your ability to work. A trimalleolar fracture happens when you break your lower leg sections that form your ankle joint and help you move your foot and ankle. Your doctor and nurses will work to reduce your pain, which can help you recover from surgery faster. What additional radiographic view will likely demonstrate the maximum degree of fracture displacement? What is the most appropriate treatment? Without this smooth cartilage, bone rubs against bone, leading to increased pain, arthritis and loss of motion and function. (OBQ08.35) Both these muscles are inserted with two heads proximally and distally to the first metatarsophalangeal joint. A radiographic series is obtained and the fracture line is only appreciated on the internal oblique view. Episode 181: Athletes Undergoing Concomitant Hip Arthroscopy and Periacetabular Osteotomy Demonstrate Greater Than 80% Return-to-Sport Rate at 2-Year Minimum Follow-Up CT or MR may be more sensitive than conventional radiographs for detection of avulsion injuries. (OBQ07.169) You'll need help with personal care such as meals, moving to and from your bed, using the bathroom and bathing. Healthcare providers use the following tests to diagnose trimalleolar fractures: Youll receive medicine for pain. Be sure to talk to your healthcare provider before putting weight on your injured ankle. Structures that pass behind medial malleolus deep to the flexor retinaculum: The lateral malleolus is found at the foot end of the fibula, of a pyramidal form, and somewhat flattened from side to side; it descends to a lower level than the medial malleolus. These type of fractures are more common in children, especially aged 5-10 years, due to the elasticity of their bones. This is called, Your surgeon then uses tools such as metal plates, screws or wires to connect your ankle's broken pieces. The talus also sits above the heel bone (calcaneus). Show signs of infection such as fever, chills, drainage from your surgical wound or it hurts to touch your wound. They often require surgery to restore the alignment and give the best chance for a return to normal function of the foot and ankle. This is your medial malleolus. Distally, the peroneus longus crosses the plantar side of the foot to reach its insertion on the first tarsometatarsal joint, while the peroneus brevis reaches the proximal part of the fifth metatarsal. As soon as your pain begins to improve, stop taking opioids. Cuneiform fracture Due to the ligamentous support of the midfoot, isolated cuneiform fractures are rare. The flexor hallucis longus arises on the back of the fibula on the lateral side, and its relatively thick muscle belly extends distally down to the flexor retinaculum where it passes over to the medial side to stretch across the sole to the distal phalanx of the first digit. As can be examined in a footprint, the medial longitudinal arch curves above the ground. A doctor who specializes in the treatment of the feet practices podiatry and is called a podiatrist. 44-B3 (lateral, medial, and Volkmanns fracture) Suprasyndesmotic Type C PER I, II, III, IV PA I, II, III 44-C1 (simple diaphyseal) 44-C2 (multifragmentary) 44-C3 (proximal The patient's mother is strongly opposed to operative intervention and he is placed in a cast. Radiopaedia.org, the wiki-based collaborative Radiology resource J Am Acad Orthop Surg 2001; 9:114-127. from the American Academy of Orthopaedic Surgeons, Inability to walk or bear weight on the foot, Considerable swelling, bruising, and tenderness. Current radiographic evaluation of the patients elbow will most likely reveal what deformity? The "plural form feet is an instance of i-mutation. The American Journal of Medicine - "The Green Journal" - publishes original clinical research of interest to physicians in internal medicine, both in academia and community-based practice.AJM is the official journal of the Alliance for Academic Internal Medicine, a prestigious group comprising internal medicine department chairs at more than 125 medical schools across Hindfoot is composed of 2 bones: calcaneus and talus. It is occasionally absent. This is your posterior malleolus. Policy. Talus the small bone that sits between the heel bone (calcaneus) and the tibia and fibula; Illustration showing the three bones that make up the ankle joint: the tibia, fibula, and talus. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. Stress testing for Ligaments [edit | edit source] 1. You'll need help with transportation, as you won't be able to drive for several months. The abductor hallucis is an abductor and a weak flexor, and also helps maintain the arch of the foot. Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. This is called. Non-surgical treatment may sometimes be considered in cases where the patient has significant health problems or where the risk of surgery may be too great. They line up your ankle's broken pieces. An individual whose bone structure involves external rotation at the hip, knee, or ankle will be more likely to overpronate than one whose bone structure has internal rotation or central alignment. [edit | edit source]A bone bruise is a type of bone injury. The shape of the bone is irregular, somewhat comparable to a turtles hump. [6], Extensor group: the tibialis anterior originates on the proximal half of the tibia and the interosseous membrane and is inserted near the tarsometatarsal joint of the first digit. A hard foot is called a hoof. Reproduced with permission from Fortin PT, Balazsy JE: Talus fractures: evaluation and treatment. Patients who are treated without surgery will work on regaining motion in the foot and ankle after the cast is removed. The major structure that passes anterior to the medial malleolus is the saphenous vein. All material on this website is protected by copyright. In contrast, the lateral longitudinal arch is very low. Only one of the three blood vessels supplying the talus is typically affected. The extensor digitorum longus acts similar to the tibialis anterior except that it also dorsiflexes the digits. She has tenderness at the lateral elbow. (OBQ18.53) Stable, well-aligned fractures, however, can often be treated without surgery. [1], The word "footloose" was first used in the 1690s, meaning "free to move the feet, unshackled"; the more "figurative sense of "free to act as one pleases" was first used in 1873. Types of pronation include neutral pronation, underpronation (supination), and overpronation. The metatarsals are the long bones of, The distal phalanges (foot) are located at the end of each toe. Strictly speaking, there are only two malleoli (medial and lateral), but the term trimalleolar is used nevertheless and as such is a misnomer. [2] The joints of the foot are the ankle and subtalar joint and the interphalangeal joints of the foot. Trimalleolar fractures require surgery and extensive physical therapy. In addition, there are several genetic disorders that can affect the shape and function of the feet, including clubfoot or flat feet. Advertising on our site helps support our mission. Talus fractures can be classified by how much the pieces of bone have moved out of their normal position. Trimalleolar fractures happen when you break the lower leg sections that form your ankle joint and help you move your foot and ankle. Also, the wearing of shoes, sneakers and boots can impede proper alignment and movement within the ankle and foot. You should plan to have help around the house for the first six weeks as you recover from your surgery: You will have regular post-surgery checkups. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an Orthopaedist. As it is fasciculus, the ligament is both small and broad. 2005-2022 Healthline Media a Red Ventures Company. The majority of talus fractures result in some degree of posttraumatic arthritis. Lateral process fractures of the talus are becoming more common with increasing numbers of snowboarding injuries. As older adults remain active longer, healthcare providers are treating more trimalleolar fractures from sports injuries, motor vehicle accidents and falls from heights. The trauma is sometimes accompanied by ligament damage and dislocation.[4]. Some people consider it rude to wear shoes into a house and a Mori Marae should only be entered with bare feet. The number of metatarsals are directly related to the mode of locomotion with many larger animals having their digits reduced to two (elk, cow, sheep) or one (horse). The trimalleolar fracture is also known as cotton fracture. Its precise location is within the sole of the foot, directly above the plantar aponeurosis, The dorsal calcaneocuboid ligament is part of a group of muscular fibers in the foot. Its primary function is to supply blood to the lower section of the body. It can take months to recover from a trimalleolar fracture. Nonunion following a pediatric lateral condyle fracture has been associated with which of the following? The underpronated foot is like a diving board that, instead of failing to spring someone in the air because it is too flimsy, fails to do so because it is too rigid. Lateral Malleolus Fracture. Displaced fracture. You'll be in a cast or a brace or brace while your ankle heals. An overpronator does not absorb shock efficiently. The heads of gastrocnemius arise on the femur, proximal to the condyles, and the soleus arises on the proximal dorsal parts of the tibia and fibula. Rotator Cuff and Shoulder Conditioning Program. Your ankle will feel unstable or weak for several weeks after your cast or brace is removed, making it difficult for you to drive safely. Arthroscopic or open trimming of the lateral spur is recommended to prevent late cubitus varus tarda. In the weight-bearing leg, it acts similarly to the tibialis anterior. The term "hangman fracture" was introduced by Schneider in 1965 5. During the gait cycle the foot can pronate in many different ways based on rearfoot and forefoot function. The popliteus is also part of this group, but, with its oblique course across the back of the knee, does not act on the foot.[10]. To prepare for general anesthesia, you should: Surgeons typically repair your medial malleolus, your tibia's bottom section, and your lateral malleolus, your fibula's bottom section. A trimalleolar fracture affects your quality of life, as you will need help with day-to-day activities until you can put weight on your ankle. The extensor hallucis longus originates medially on the fibula and is inserted on the first digit. Reproduced and modified with permission from Fortin PT, Balazsy JE: Talus fractures: evaluation and treatment. Radial head fractures can be subtle and easily missed on radiographs. The weight is distributed unevenly across the metatarsus, with excessive weight borne on the fifth metatarsal, toward the lateral side of the foot. Healing from trimalleolar surgery takes time as your broken bones heal around the tools surgeons used to stabilize your bones. ", https://en.wikipedia.org/w/index.php?title=Malleolus&oldid=1109197284, Wikipedia articles incorporating text from the 20th edition of Gray's Anatomy (1918), Short description is different from Wikidata, Articles needing additional references from April 2012, All articles needing additional references, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 8 September 2022, at 14:34. Avascular necrosis of the lateral fragment, Fracture nonunion and a normal carrying angle. Check to see that pressure from fluids is not building up in the muscles of the leg, a condition called compartment syndrome. For insects, see, Learn how and when to remove this template message, "Are Outcomes of Bimalleolar Fractures Poorer Than Those of Lateral Malleolar Fractures with Medial Ligamentous Injury? An individual who neutrally pronates initially strikes the ground on the lateral side of the heel. The quadratus plantae originates with two slips from the lateral and medial margins of the calcaneus and inserts into the lateral margin of the flexor digitorum tendon. Compared to most other bones, the talus is deficient in its supply of oxygenated blood. A 36-year-old male presents for evaluation of left hand weakness. As a result, it takes a long time to repair following a serious injury. Connected to the talus at the subtalar joint, the calcaneus, the largest bone of the foot, is cushioned underneath by a layer of fat. The triceps surae consists of the soleus and the two heads of the gastrocnemius. Because the talus is important for ankle movement, a fracture often results in substantial loss of motion and function. Three phalangeal bones make up each digit, articulating with each other at bending. Epidemiology. Rosemont, IL American Academy of Orthopaedic Surgeons, 2004, p. 605. Dorsal avulsion fracture. Open fracture:When broken bones break through the skin, the injury is called an open or compound fracture. They form the subtalar joint. Lateral ligament injuries are perhaps one of the most common sports-related injuries seen by physiotherapists. Epidemiology In this stage of the gait, the knee will generally, but not always, track laterally of the hallux. 1 The InternalBrace 2.0 surgical technique provides surgical versatility with added size and The mechanism of injury is variable, and can occur both during flexion or extension, and with or without compression 5. They act to dorsiflex the digits. You will have to wear a cast for 6 to 8 weeks. Immediate first aid treatment for a talus fracture, as with any painful ankle injury, is to apply a well-padded splint around the back of the foot and leg to immobilize and protect the limb. They are then held together with special screws or metal plates and screws. Check to see if you can move your toes, and can feel things on the bottom of your foot. What is a bone bruise? That means you won't be able to get around easily, drive, or do other everyday activities. Similarly, an overpronator's arches will collapse, or the ankles will roll inward (or a combination of the two) as they cycle through the gait. WebThe human leg, in the general word sense, is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or gluteal region. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7864963/), Visitation, mask requirements and COVID-19 information. There's a bony knob that sticks out on the outside of your ankle. This illustration shows a displaced talus neck fracture. The talus bone sits between the bones of the lower leg and the calcaneus (heel bone). Image showing the lateral malleolus as part of the fibula. These two muscles are the strongest pronators and aid in plantar flexion. [12], Muscles of the little toe: Stretching laterally from the calcaneus to the proximal phalanx of the fifth digit, the abductor digiti minimi form the lateral margin of the foot and are the largest of the muscles of the fifth digit. Anderson and D'Alonzo The neck is between the "body" of the talus, under the tibia, and the "head" of the talus, located further down the foot. (OBQ11.192) It is important to use opioids only as directed by your doctor. 17% of all distal humerus fractures in the pediatric population, typically occurs in patients aged 6 years, avulsion fracture of the lateral condyle that results from the pull of the common extensor musculature, fall onto an outstretched hand causes impaction of the radial head into the lateral condyle causing fracture, fractures originate proximally at the posterior aspect of the distal humerus metaphysis and extend distally and anteriorly across the physis and epiphysis into the elbow joint, fracture may extend medially into the trochlear groove, making the elbow unstable and prone to dislocation, result of FOOSH with slight elbow flexion and adduction force, the brachial artery lies anteriorly in the antecubital fossa, most of the blood supply of the distal humerus comes from the anastomotic vessels that course posteriorly, remains intact and attached to lateral condyle fragment proximally and radial neck distally, Fracture line is lateral to trochlear groove (less common, elbow is stable as fracture does NOT enter trochlear groove), Fracture line extends medially into trochlear groove (more common, more unstable), Fracture Displacement Classification- Weiss et al, < 2mm, indicating intact cartilaginous hinge, > 2 mm < 4 displacement, intact articular cartilage on arthrogram, > 4 mm, articular surface disrupted on arthrogram, may be subtle if fracture is minimally displaced, exam lacks the obvious deformity often seen with supracondylar fractures, swelling and tenderness are usually limited to the lateral side, lateral ecchymosis implies a tear in the aponeurosis of the brachioradialis and signals an unstable fracture, may have increased pain with resisted wrist extension/flexion, contralateral elbow for comparison when ossification is not yet complete, routine elbow stress views are not recommended due to pain and lack of useful information, in displaced fractures, the capitellum is laterally displaced in relation to radial head, posteriorly based Thurston-Holland fragment on the lateral view, to assess cartilage surface when there is incomplete/absent epiphyseal ossification, rarely indicated, only if there is uncertainty as to the type of fracture, provides the ability to assess the cartilaginous integrity of the trochlea, useful for operative planning of delayed or non-unions, medial cartilaginous hinge must remain intact, cast with elbow at approx 90 degrees as long as swelling is mild, weekly follow up and radiographs every week x first 3 weeks, including internal oblique view, occasionally > 6 weeks of casting is needed, 2 - 4 mm of displacement have intact articular cartilage and can be treated with CRPP, open reduction (rather than closed) necessary to align the joint surface, deformity correction in late-presenting cubitus valgus - rarely needed, closed reduction perhaps aided by pushing the fragment anteromedially to close the gap, screw may need to be removed if crossing the physis, anterolateral approach as blood supply comes from posteriorly, below the skin, dissection to the joint is most often already accomplished by injury, avoid dissection of the posterior aspect of lateral condyle (source of vascularization), directly visualize the joint reduction, at times the metaphyseal reduction may not be perfect, as fracture fragment may have plastic deformation, most fractures can be fixed with 2 percutaneous pins (3 if comminuted) in parallel or divergent fashion, single screw for large fragments or non-union. This bone is cube-shaped and connects the foot and. The bone also helps in the movements of the ankle, and together with the calcaneus it facilitates the movements of the foot. For this reason, most talus fractures require surgery. Trimalleolar fractures are the least common ankle fracture. Physical therapy is an essential part of recovering from a trimalleolar fracture. The three aforementioned parts of bone articulate with the talus bone of the foot. (SAE07PE.6) Ankle joint. When the cast is removed, your doctor will give you exercises to help restore range of motion and strengthen your foot and ankle. X-ray avulsion fracture of the summit of the left lateral malleolus. (It is cognate with mallet.). Stop taking herbal supplements for one to two weeks before the procedure as directed by your provider. Which of the following statements is true? The patient noticed immediate pain and deformity with the inability to flex or extend at the elbow. Classification. In addition to reporting the presence of the fracture a number of features should be sought and in many instances commented upon as relevant negatives: If you take certain (but not all) blood pressure medications, talk to your healthcare provider about taking your medication with a sip of water. This cartilage allows the talus to move smoothly against its neighbor bones. A talus fracture often occurs during a high-energy event like a car collision. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, (https://orthoinfo.aaos.org/en/diseases--conditions/ankle-fractures-broken-ankle/), (https://radiopaedia.org/articles/trimalleolar-fracture?lang=us). 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