In this report, we present the diagnosis and clinical outcome of four
patients with fractures of the posteromedial process of the talus, In
two patients, the posteromedial process fracture was missed initially,
which led to painful nonunions. One patient was treated with excision
of a nonunion, and the other patient with a nonunion refused further
surgery. Two patients underwent ORIF through a posteromedial approach.
CT scans were useful in defining the fracture in all four patients. C
ast treatment was recommended for nondisplaced fractures or fractures
without significant subtalar joint involvement. ORIF was recommended f
or displaced fractures with significant subtalar joint involvement.