Unusual case of talus neck fracture in a paediatric patient


  • Vipan Kumar Department of Orthopaedics, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India
  • Anu Yarky Department of Medicine, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India




Paediatric talus neck fracture, Avascular necrosis, Closed reduction, Internal fixation


Talus fracture is a rare injury in a paediatric patient. Among talus fractures, the fracture of neck of talus is more common than fracture of body of talus. This can occur because of axial loading of the talus in a dorsiflexed foot against the anterior tibia. Children’s bones are skeletally immature and hence less brittle. They have higher elastic resistance than adult bone and are less likely to fracture.However talus fractures can still occur in paediatric patients when there is history of high-energy trauma. It needs surgery and can be associated with complications like avascular necrosis, delayed union, neuropraxia and may need a revision surgery. Here we present an unusual case of a talar neck fracture in a young boy, which was a closed fracture without distal neurovascular deficit. Closed reduction and internal fixation was done with K wire and post op X rays and follow up X rays showed complete union. Patient has normal joint mobility and strength after a period of 1 year follow up.


Byrne AM, Stephens M. Paediatric talus fracture. BMJ Case Rep. 2012;2012.

Alton T, Patton DJ, Gee AO. Classifications in Brief: The Hawkins Classification for Talus Fractures. Clin Orthop Relat Res. 2015;473(9):3046–9.

Michel-Traverso A, Ngo THN, Bruyere C, Saglini M. Talus fracture in a 4-year-old child. BMJ Case Rep. 2017.

Baumhauer JF, Alvarez RG. Controversies in treating talus fractures. Orthop Clin North Am. 1995;26(2):335–51.

Smith JT, Curtis TA, Spencer S, Kasser JR, Mahan ST. Complications of Talus Fractures in Children. J Pediatr Orthop. 2010;30(8):779–84.

Jensen L, Wester JU, Rasmussen F, Lindequist S, Schantz K. Prognosis of fracture of the talus in children: 21 (7-34)-year follow-up of 14 cases. Acta Orthop Scand. 1994;65(4):398-4.

Rammelt S, Zwipp H, Gavlik JM. Avascular necrosis after minimally displaced talus fracture in a child. Foot ankle Int. 2000;21(12):1030–6.

Pinzur MS. Pitfalls in the treatment of fractures of the ankle and talus. Clin Orthop Relat Res. 2001;(391):17–25.