Chance fracture of the talus and calcaneum.

Combined talus and calcaneum fractures are rare in themselves. We report the case of an unusual fracture pattern of the talus and calcaneum in an otherwise, healthy 17-year-old male. Plain radiographic images of the foot revealed a fracture through the neck of the talus. Additional computed tomography imaging showed the fracture line extending through the talus and entire calcaneum. The fracture was open and associated with rupture of the tibialis anterior and extensor hallucis longus tendons. The patient underwent debridement with open reduction and internal fixation of the talar component of the fracture using 2 screws. The calcaneal component was treated conservatively. The soft tissue injuries to the 2 tendons were also repaired. The patient made good progress with this management.