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      Talus fracture in a 4-year-old child

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          Abstract

          Fracture of the talus is uncommon in childhood. We report a case of talar neck fracture that occurred in a 4-year-old girl. We present the radiological findings, the orthopaedic follow-up and the clinical outcome.

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          Fractures of the talus--differences between children and adolescents.

          Fractures of the talus represent serious injuries of the foot skeleton. The most significant complications include osteonecrosis and posttraumatic malalignment with subsequent arthritis. The aim of our study was to compare treatment and outcome of fractures of the talus between children and adolescents. From 1990 to 2005, 24 patients (18 male, 6 female) presented with 25 fractures of the talus. The medical records were reviewed retrospectively. Follow-up was performed by radiographical grading, and the functional outcome was measured using the Foot-Function-Index. Nine patients were 12 years of age or younger, and 15 patients presenting 16 talar fractures were older than 12 years. Although most fractures of the talus in children younger than 12 years were classified as Marti-Weber type I and II fractures, more than two thirds of the fractures in patients older than 12 years were Marti-Weber type III and IV fractures. Two thirds of the patients younger than 12 years were treated nonoperatively, whereas nonoperative treatment was possible in only three talar fractures in adolescents. No necrosis at follow-up (mean period, 3.2 years; range, 7 months to 8.4 years after end of treatment) was detected in children (<12a), whereas five patients older than 12 years developed persisting necrosis. Even though there is no apparent difference in the cause of the trauma leading to fractures of the talus, adolescents present with more severe fractures of the talus compared with children younger than 12 years. In addition, we did not observe persistent osteonecrosis in patients younger than 12 years old, and the outcome is favorable in most cases irrespective of the mode of treatment.
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            Complications of talus fractures in children.

            Pediatric talus fractures are rare with variable rates of posttraumatic complications reported in the literature. The purpose of this retrospective study was to evaluate posttraumatic complications in children after talus fracture and report injury characteristics.
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              Fractures of the talus in the pediatric patient

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                Author and article information

                Journal
                BMJ Case Rep
                casereports
                bmjcasereports
                BMJ Case Reports
                BMJ Case Reports (BMA House, Tavistock Square, London, WC1H 9JR )
                1757-790X
                2017
                11 April 2017
                11 April 2017
                : 2017
                : bcr2016215063
                Affiliations
                [1 ] Centre Hospitalier Universitaire Vaudois , Lausanne, Switzerland
                [2 ] Hopitaux Universitaires de Geneve , Geneva, Switzerland
                [3 ] EHC Morges , Morges, Switzerland
                Author notes
                [Correspondence to ] Dr Aurélien Michel-Traverso, auremt@ 123456gmail.com
                Article
                bcr-2016-215063
                10.1136/bcr-2016-215063
                5534889
                28400423
                cc4d7715-b24a-43bc-b76a-00c628c5cb83
                © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

                This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

                History
                : 24 March 2017
                Categories
                Article
                Rare Disease
                1506
                1523
                Female
                1-5 years
                White
                Europe (West)
                Case Report
                Custom metadata
                unlocked

                trauma,emergency medicine,orthopaedics,paediatrics
                trauma, emergency medicine, orthopaedics, paediatrics

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