Department of Emergency Medicine

UMEM Educational Pearls

Title: Talar Neck Fractures

Category: Orthopedics

Posted: 3/12/2011 by Michael Bond, MD (Updated: 3/19/2011)
Click here to contact Michael Bond, MD

Talar Neck Fractures

Have a high rate of avascular necrosis (AVN), nonunion, and arthritis. Almost all require ORIF

Hawkins 1:
- 0- 13% AVN rate
- non-displaced fracture
Hawkins 2:
- 20- 50% AVN rate
- Displaced fracture with subluxation or dislocation of the posterior facet of the subtler joint. Subtalar joint usually dislocated posteriory
Hawkins 3:
- 20-100% AVN rate
- Displaced fracture of the talar neck with dislocation of the body of the talus from both the subtalar joint and the ankle joint

References

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