Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 23749
  Title Fracture of the lateral tubercle of the posterior talar process caused by a rock-climbing fall: A case report
Journal J Can Chiropr Assoc. 2014 Sep;58(3):286–290
Peer Review Yes
Publication Type Case Report

The purpose of this case report is to describe the clinical presentation of a patient who suffered from a fracture of the lateral tubercle of the posterior talar process caused by a fall while rock-climbing. The initial evaluation revealed diffuse ankle swelling, tenderness, and pain at the distal aspect of both malleoli. Plain film radiography revealed a fracture of the posterior process of the talus. Computed tomography (CT) outlined the extension of the fracture line in the postero-lateral aspect of the body of the talus with minimal displacement. The patient was treated conservatively with an Aircast© walking boot for 6 weeks (non-weight-bearing) followed by a 2-week period of partial weight bearing. At the 8 week follow-up, he reported minimal tenderness and normal ankle function. Clinicians should be aware that talar fracture identification on plain films is difficult and computed tomography or magnetic resonance imaging may be required.

L’objectif de ce rapport de cas est de décrire la présentation clinique d’un patient qui a subi une fracture du tubercule latéral du processus talaire postérieur suite à une chute d’escalade. L’évaluation initiale a révélé un œdème diffus de la cheville et de la douleur sur l’aspect distal des deux malléoles. Les radiographies ont révélé une fracture de l’apophyse postérieure du talus. La tomodensitométrie a démontré que la ligne de fracture atteignait l’aspect postéro- latérale du corps du talus avec déplacement minimal. Le patient a été traité avec une botte Aircast© pour 6 semaines (sans mise en charge) suivie d’une période de 2 semaines de mise en charge partielle. Après 8 semaines, il rapporte un inconfort minimal ainsi qu’une fonction normale de sa cheville. Les cliniciens doivent être conscient que ce type de fracture requiert une évaluation minutieuse des radiographies. La tomodensitométrie ou l’imagerie par résonance magnétique sont parfois nécessaires.

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