Causes and risk factors
A great amount of force is usually needed to break the talus. Talus fracture is more commonly seen in athletes who are involved in sports like running, jumping, or snowboarding. Overuse of the bone can also lead to stress fracture. Road accidents are another common cause of the fracture. Fracture of talus is also commonly associated with other fractures like the ankle joint fracture or fracture of the lower leg. Fall from height can cause great pressure on the talus leading to its breakage.
Clinical presentation:
There are different types of talus fractures: Type I: Nondisplaced type of fracture is seen. Type II: Fracture with subtalar dislocation and subluxation. Type III: Fracture with subtalar tibiotalar dislocation occurs. Type IV: Fracture with subtalar and tibiotalar dislocation and talonavicular subluxation. Unlike any other fracture, pain is the predominant feature which is aggravated by movement, hence restricted movement is seen. Swelling at the foot is seen. The person is unable to touch the heel down to the floor as it initiates pain. Inability to walk is seen. The foot appears to be deformed. On examination, tenderness is present.
Investigations:
Diagnosis is done on the basis of the symptoms narrated by the patient and the physical examination carried out by the orthopedic doctor. Investigations which are done are x-ray of the bone – routine x-rays or specialized digital x-rays along with CT scan and MRI are advised.
Treatment:
Rest and elevation of the affected area is the first step to be implemented. Analgesic or nonsteroidal anti-inflammatory drugs are advised by the orthopedic doctor. Stable fracture can be managed by conservative method. Cast application for 6-8 weeks is necessary. Displaced fracture which involves dislocation of the bones needs to be corrected by surgical means. Monitoring diet and nutrition and exercises for strengthening of muscles are advised.
Other Modes of treatment:
Certain other modes of treatment can also be helpful in coping up with the symptom. Taking into consideration the symptoms in a holistic way, homoeopathy can offer a good aid for the relief of the symptoms. The Ayurvedic system of medicine which uses herbs and synthetic derivates can also be beneficial in combating the complaints. Certain yoga exercises can also be helpful in strengthening the muscles.
