title: Talar body fracture associated with unrecognised talocalcaneal coalition.
abstract: We report the case of a talar body fracture occurring in association with a previously undiagnosed talocalcaneal coalition. A rotational injury during a football tackle produced a grossly deformed ankle that was reduced in the emergency department. The unusual appearance of the medial sub-talar region on plain radiographs prompted further imaging by computerised tomography, which confirmed an osseous talocalcaneal coalition. Operative findings included a talar body fracture that could only be reduced after excision of the osseous coalition. The fracture was reduced and fixed. The patient made a good postoperative recovery with favourable AOFAS scores in the medium term at 1 year.
authors.affiliation: Painswick Coach House, 64 Suffolk Road, Cheltenham GL50 2AQ, United Kingdom. adrian_hughes42@hotmail.com
authors.forename: Adrian
authors.initials: A
authors.lastname: Hughes
authors.forename: Rick
authors.initials: R
authors.lastname: Brown
mesh_terms: D000328:Adult; D016512:Ankle Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005500:Follow-Up Studies; D005538:Football / Q000293:injuries; D050723:Fractures, Bone / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D013380:Subtalar Joint / Q000000981:diagnostic imaging / Q000293:injuries*; D013580:Synostosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D013628:Talus / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed