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dc.contributor.authorByrne, Ann-Maria
dc.contributor.authorStephens, Michael
dc.date.accessioned2013-02-26T16:06:23Z
dc.date.available2013-02-26T16:06:23Z
dc.date.issued2012
dc.identifier.citationPaediatric talus fracture. 2012, 2012: BMJ Case Repen_GB
dc.identifier.issn1757-790X
dc.identifier.pmid22605852
dc.identifier.doi10.1136/bcr.10.2011.5028
dc.identifier.urihttp://hdl.handle.net/10147/270513
dc.description.abstractPaediatric talus fractures are rare injuries resulting from axial loading of the talus against the anterior tibia with the foot in dorsiflexion. Skeletally immature bone is less brittle, with higher elastic resistance than adult bone, thus the paediatric talus can sustain higher forces before fractures occur. However, displaced paediatric talus fractures and those associated with high-energy trauma have been associated with complications including avascular necrosis, arthrosis, delayed union, neurapraxia and the need for revision surgery. The authors present the rare case of a talar neck fracture in a skeletally immature young girl, initially missed on radiological review. However, clinical suspicion on the part of the emergency physician, repeat examination and further radiographic imaging revealed this rare paediatric injury.
dc.language.isoenen
dc.rightsArchived with thanks to BMJ case reportsen_GB
dc.subject.meshAccidental Falls
dc.subject.meshCasts, Surgical
dc.subject.meshChild
dc.subject.meshFemale
dc.subject.meshFractures, Bone
dc.subject.meshHumans
dc.subject.meshImaging, Three-Dimensional
dc.subject.meshTalus
dc.subject.meshTomography, X-Ray Computed
dc.titlePaediatric talus fracture.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Paediatric Orthopaedics, The Children's University Hospital, Temple Street, Dublin, Ireland. ann_maria_byrne@hotmail.comen_GB
dc.identifier.journalBMJ case reportsen_GB
dc.description.provinceLeinsteren
html.description.abstractPaediatric talus fractures are rare injuries resulting from axial loading of the talus against the anterior tibia with the foot in dorsiflexion. Skeletally immature bone is less brittle, with higher elastic resistance than adult bone, thus the paediatric talus can sustain higher forces before fractures occur. However, displaced paediatric talus fractures and those associated with high-energy trauma have been associated with complications including avascular necrosis, arthrosis, delayed union, neurapraxia and the need for revision surgery. The authors present the rare case of a talar neck fracture in a skeletally immature young girl, initially missed on radiological review. However, clinical suspicion on the part of the emergency physician, repeat examination and further radiographic imaging revealed this rare paediatric injury.


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