Northwestern University Feinberg School of Medicine

Orthopedic Teaching

Ankle Case 7 ED Management

Talus fractures are to be made non-weightbearing in a sugar tong splint.  Many of these injuries will require ORIF so patients should be referred for rapid follow up with orthopedic surgery. Any displacement of the fracture fragments >2mm will require surgery [2]. Even with prompt surgical management, common complications, which include avascular necrosis, arthritis, and chronic paincan occur [4].

If the plain films are negative but index of suspicion for fracture remains high, the patient can be treated similarly and referred for outpatient repeat imaging or CT scan.