Inokuchi S, Ogawa K, Usami N
Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan.
Foot Ankle Int. 1996 Dec;17(12):748-50. doi: 10.1177/107110079601701206.
The treatment and prognosis of neck fractures (extra-articular) and body fractures (intra-articular) of the talus are different. Ratios between neck fractures and body fractures reported by different investigators vary widely (from 6:1 to 1:1), because it is difficult to differentiate fractures crossing the anteromedial aspect of the trochlea. We examined 215 fractures of the talus. By examining the inferior surface fracture line, we found that the 61 fractures crossing the anteromedial aspect of the trochlea could be differentiated into 28 neck fractures and 33 body fractures. We suggest classifying fractures of the talus based on the inferior, not superior, surface fracture line.
