Fractures of the talus are rare and generally associated with severe trauma. The mechanism of injury is usually forced dorsiflexion or a fall from a height. Severe talar fractures pose a challenge for surgeons as they are often associated with complications such as avascular necrosis, collapse, malunion, secondary osteoarthritis and pain. This has led some institutions to advocate primary arthr...

Juxta-articular, subperiosteal osteoid osteomas arising around the ankle are unusual. Tumors arising on the neck of the talus commonly produce symptoms mimicking monoarticular arthritis. Patients are usually treated for arthritis or ankle sprain, which often leads to a delay in definitive diagnosis. Here we present a case of osteoid osteoma of neck of talus which was presented as ankle pain. It...

Types of equinus, surgical management for equinus involving the Ytalocalcaneal osteotomy supplementing an external fixation device is presented. A case report is introduced involving surgical correction of a 53 year-old male who had a severe equinus flat top talus with mild varus secondary to clubfoot surgery. Treatment included surgical correction utilizing Steindler stripping, Achilles tendon...

The Night Snake (Hypsiglena torquata) is a secretive snake that is rarely encountered. Subsequently, little is known about the ecology of this species. Since it was first collected in 1943 in Washington State, few ( 40) specimens have been found. From May to October 2004 and 2005, I collected 121 specimens from 8 counties in eastern Washington State by road-cruising appropriate habitat. Snakes ...

With respect to ankle sprains and injury to the ATFL, the typical mechanism of injury involves a forced motion that is best described as a plantarflexion – inversion deforming force (Figure 59). This injury is often accompanied by a history of a pop; the patient often states that they rolled their ankle; there is pain and swelling with the most intense area of symptoms located at the anterolate...

We reviewed 11 patients (17 ankles) who had had core decompression for symptomatic avascular necrosis of the talus before collapse. The Mazur grading system was used to assess function preoperatively and at final follow-up, and radiographs were graded according to the Ficat and Arlet (1980) classification modified for the ankle. At a mean follow-up of seven years (2 to 14) 14 ankles (82%) had a...

We reviewed retrospectively 11 patients who had been treated surgically by open autologous osteochondral grafting for symptomatic chondral or osteochondral defects of the dome of the talus between 1996 and 1999. The mean ages of the eight men and three women were 34.2 and 25.9 years, respectively, with a mean time to follow-up of 24 months. The results of functional outcome were prospectively o...