Diagnosis and treatment of talar tilt and its relationship to the occurrence of transchondral fractures: a retrospective study.

A study of 112 acute ligamentous injuries of the ankle diagnosed with the Telos stress device and repaired surgically was conducted by the authors. They found that the likelihood of a transchondral fracture of the talar dome was significantly increased when the talar tilt was 18 degrees or greater. A significant number of these fractures were not diagnosed until surgical inspection. The authors provide a comprehensive review of transchondral fractures of the talar dome and attempt to correlate the clinical significance of the data obtained in this study with the diagnosis and treatment of these fractures.