FRACTURES OF THE LATERAL PROCESS OF THE TALUS - 2 CASE-REPORTS AND A COMPREHENSIVE LITERATURE-REVIEW

Fractures of the lateral process of the talus are frequently overlooke d and should be considered in the differential diagnosis of patients w ith acute and chronic ankle pain. Early diagnosis is emphasized in all series reviewed in the literature to prevent long-term complications. Thorough radiographic evaluation is necessary to determine the need f or operative vs. nonoperative management. Small nondisplaced fractures are treated with cast immobilization, whereas large or displaced frac tures usually require open reduction and internal fixation. Comminutio n of fragments may necessitate surgical excision. To achieve the best possible results, a timely diagnosis is required, and it is our belief that early treatment has better overall results.