A member asked:

Management of neglected undisplaced talus neck frx 6 month old confirmed by mri ct & bone scan.what will be the result of late diagnose and treatment.

4 doctors weighed in across 4 answers
Dr. John Michalski answered

Specializes in Orthopedic Surgery

Talus fracture: Ultimate outcome will depend upon many factors. Each fracture has its own personality based on fracture displacement, joint involvement, blood supply, soft tissue involvement, any avn, host immune system and health, amount of energy of original injury, etc. Nondisplaced fractures likely will have the best outcome with possibly no sequellae.

Answered 5/27/2013

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Dr. Steven Sheskier answered

Specializes in Orthopedic Foot and Ankle Surgery

Ok to good: A truly nondisplaced talar neck fracture will heal uneventfully. There is a possibility that at the time of injury damage to the circulation of the bone occurred (talus has limited blood supply) this can lead to bone death and arthritis. Most comon problem is stiffness (side to side motion). If was displaced can lead to stiffness and walking on outside of foot plus arthritis.

Answered 5/27/2013

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Dr. Gerald Mandell answered

Specializes in Nuclear Medicine

Neglected: How did this fracture occur? Fractures in 6 month old of feet are unusual since they usually are not walking. Healling depends on degree of displacement. Young children heal fractures much quicker than adults. In most cases uneventful healing will occur.

Answered 5/27/2013

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Dr. Wenjay Sung answered

Specializes in Podiatry

Good: An undisplaced talar neck fracture is serious condition, but since it is undisplaced and you do not have avn (from your mri/ct/bone scan results), you should have little to no sequelae.

Answered 5/29/2013

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