Talar fracture accompanying a Jones fracture
Ahmet Yıldırım1
, Erdem Aktaş2, Baybars Ataoğlu3, Mustafa Özer4
1Department of Orthopedics and Traumatology, Selçuk University Faculty of Medicine, Konya, Turkey
2Department of Orthopedics and Traumatology, TOBB ETU Faculty of Medicine, Ankara, Turkey
3Department of Orthopedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Turkey
4Department of Orthopedics and Traumatology, Necmettin Erbakan University Faculty of Medicine, Konya, Turkey
Keywords: Bone marrow edema, chronic regional pain syndrome, Jones fracture, magnetic resonance imaging, metatarsal, talus fracture
Abstract
Fractures involving the fifth metatarsal are the most common foot injury after soft tissue traumas. We report a 30-year-old male patient diagnosed with a right foot Jones fracture after an inversion injury. The ankle was immobilized for four weeks with an ankle stabilization brace. Magnetic resonance imaging (MRI) was performed, and an impacted subchondral fracture line in the neck of the talus and severe bone marrow edema was observed, in addition to the Jones fracture. The immobilization period was extended, and bone marrow edema recovered after four months. However, chronic regional pain syndrome occurred as a complication. The patient received both medical therapy and physiotherapy for six months. At the end of one year, the patient fully recovered with no pain during full weight bearing and active range of motion of the ankle. In conclusion, MRI can be a valuable diagnostic tool to detect an unexpected talus fracture resulting from excessive inversion of the foot in plantar flexion, particularly in young patients.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.