Aviator astragalus fracture. Fractures included under this name include compression fractures of the talar neck, fractures of the body, posterior process or fracture- Study with Quizlet and memorize flashcards containing terms like aviator's fracture or aviator's astragalus, backfire fracture/chauffeur's fracture, Barton's fracture and more. However, talar neck fracture accounts for 50% of these injuries [1-3] making its management clearer in the literature. Calcaneal fractureMeSH terms Biomechanical Phenomena Calcaneus / injuries* Fractures, Bone / etiology* Humans Talus / injuries* Terminology as Topic In addition to fractures described by the term aviator's astragalus, other talar injuries are usually the result of ligamentous avulsion by forced dorsiflexion of the foot. Talar neck fractures occur with hyperdorsiflexion of the ankle. This lecture is for Orthopaedics Trauma course. Talus fractures are renowned for the high incidence of unsatisfactory results, due to the comparatively frequent incidence of serious complications such as osteonecrosis. They comprise less than 0. Nov 1, 2019 · The treatment of these lesions requires timely treatment, an anatomical reduction of the fracture and patient's collaboration. The ancient Grecian game of knuckle bones uses five taluses: one is thrown up into the air and the remainder are swept up in the same hand, in different combinations, catching the thrown talus before it hits the ground, also in the same hand. Although uncommon, talar fractures can be potentially devastating to the patient. Whereas, we observed a sagittal fracture and a pantalar dislocation with rotation in a coronal plane (Figure 2). Aviator's Astragalus Fractures included under this name include compression fractures of the talar neck, fractures of the body, fractures of the posterior process, or fracture dislocation injuries. Fractures of the talus were first described in parachutists and pilots of the Royal Air Force who sustained these injuries upon impact with the ground, hence termed Aviator’s Astragalus The results with surgical management of these fractures have History As reported by Coltart [5], Fabricius von Hilden first de-scribed talus injuries in 1608, and in 1919, Anderson et al. of represents an exposed bilateral fracture the talus. Acta Biomed. It was in 1919 that a consulting surgeon to the Royal Flying Corps, Henry Graeme Anderson, made the link between talar fractures and aviation crashes, thus the term Aviators Astragalus. This was a displaced, complex comminuted fracture that affected the talar neck and body. Talar neck fractures account for 30% of all talar fractures (3). We describe the radiological features of the fracture and outline its therapy and prognosis. Although all talar fractures require appropriate diagnosis and treatment, some require surgical skill for appropriate correction. The complex morphology of the talus, it's multiple articulations and tenuous blood supply translate into significant challenges that must be overcome to achieve the best possible outcomes Mar 1, 2019 · This injury was once termed aviator's astragalus by Anderson (2), who described a fracture of the talus sustained during forced dorsiflexion that occurred during crash landings of World War I pilots. . Elimination of unnecessary soft tissue Aug 21, 2025 · Talar neck fractures extend through the thinnest cross-sectional portion of the talus, just proximal to the talar head. Its meticulous anatomy and intricate vascularization need to be considered when A talar fracture is a break in the continuity of one of the bones that form the ankle; the talus. Introduction Talus fractures and dislocations are infrequently encountered in practice, therefore; scarce evidence is available in the literature on these fractures and their management. 34B4. Study with Quizlet and memorize flashcards containing terms like Aviator's Astragalus, Baseball Finger", Bennett's Fracture and more. Talar neck fractures are associated with high-energy mechanisms, with severe soft tissue injury, bony comminution, and fracture displacement commonly co . 85% of all fractures Jan 3, 2024 · Talar neck fractures are relatively uncommon but potentially devastating injuries with often life-altering sequelae. We report the case of a 29-year-old patient with an exposed bilateral fracture of the talus following a plane accident. Fractures included under this name include compression fractures of the talar neck, fractures of the body, posterior process or fracture- When bracing for impact, the sole of the pilot’s foot is pressed against the rudder bar, where the talus absorbs the force of the axial load and becomes the centre of fracture 3. Method Archaeological, religious, artistic, literary, historical and scientific accounts were searched for the descriptions of talus fractures in different eras and their treatments to provide a thorough analysis Apr 15, 2024 · Aviator astragalus is an antiquated term for a pattern of isolated fracture-dislocation injury of the talus. Clinical Significance - None. It affects the talus bone in the ankle and can lead to severe pain, swelling, and difficulty bearing weight on the affected foot. May 13, 2015 · A comprehensive review of the unique anatomy and vascular supply of the talus and patterns of talar fractures and dislocations is meant to provide radiologists with a high-yield resource for identi The use of external fixator with internal osteosynthesis represents a good therapeutic option in Hawkins 3 and 4 type fractures in patients with exposed bilateral fracture of the talus following a plane accident. Strong forces are required to produce talar fractures. The patient underwent open reduction internal xation (ORIF) of the talus via a dual The talus has a unique anatomical shape and function. The talus is the second most fractured bone of the foot. Fractures of the talus are associated with significant morbidity in view of the blood supply, and these can be challenging for surgeons to manage. Hindfoot fractures are usually Jun 5, 2025 · Talar neck fractures are high energy injuries to the hindfoot that are associated with a high incidence of talus avascular necrosis. 2009; 80 (3): 219-24. Mechanism of Injury Hyperdorsiflexion of the foot on the leg Neck of talus impinges against anterior distal tibia, causing neck fracture If force continues: Talar body dislocates posteromedial Rotates around deltoid ligament Fractures included under this name include compression fractures of the talar neck, fractures of the body, fractures of the posterior process, or fracture dislocation injuries. The talar neck is the most frequently injured site and the talus is the second most injured bone in the foot (calcaneus is first). Talar neck fractures are associated with high-energy mechanisms, with severe soft tissue injury, bony comminution, and fracture displacement commonly co Apr 15, 2024 · Aviator astragalus is an antiquated term for a pattern of isolated fracture-dislocation injury of the talus. On the right ankle, of a 29-year-old talus following patient a plane dislocation Hawkin 3 Gustilo on patient the left had Jun 1, 2012 · The talus is also known as the Astragalus (search for ‘Aviator's Astragalus’). Fractures included under this name include compression fractures of the talar neck, fractures of the body, posterior process or fracture- Aug 2, 2017 · Aviator's Astragalus Other Known Aliases - None Definition - Any fracture dislocation of the talus. 2. Neck fractures are the most common. Aviator's astragalus. Pathology Location talar head fractures talar neck fractures talar body fractures Mar 16, 2023 · Purpose This historical review aims to highlight the important roles of the talus in antiquity and to summarise the multiple attempts of managing talar fractures throughout history. Fractures of the talus were first described in parachutists and pilots of the Royal Air Force who sustained these injuries upon impact with the ground, hence termed aviator’s astragalus [4, 5]. It represents 0. Although fractures and dislocations of the talus have been described since 1608 the rarity of the more severe and complicated injuries has meant a dearth of accurate descriptions or classification in the literature. Apr 25, 2021 · A 29-year old male patient sustained an isolated fracture of the left talus in a fall down a staircase. Introduction, Etiology, Epidemiology, Pathophysiology, History and Physical, Evaluation, Treatment / Management, Differential Diagnosis, Prognosis, Complications, Pearls and Other Issues, Enhancing Healthcare Team Outcomes Study with Quizlet and memorize flashcards containing terms like Aviator's astragalus, Barton's fracture, Bennett's fracture and more. TALUS FRACTURES Background: Talus fractures are relatively rare and make up 1% of all foot and ankle fractures. 1970; 52A:991–1002. A simple but History As reported by Coltart [5], Fabricius von Hilden first described talus injuries in 1608, and in 1919, Anderson et al. On the right ankle, the patient had a … Bilateral fracture-dislocation of the talus is a rare occurrence. These are generally high-energy injuries. Aviator’s astragalus. Therefore, the vast majority of talar fractures are either intra-articular or lead to a joint Apr 15, 2024 · Aviator astragalus is an antiquated term for a pattern of isolated fracture-dislocation injury of the talus. However, a recent study on the patterns of talus fractures showed that the most common Talus fractures result following high energy trauma and can lead to significant functional impairment. Complications related to these fractures, such as Talar neck fractures (Anderson 1919, Aviator’s Astragalus) are relatively rare injuries with a unique anatomy and tenuous blood supply. Minimally displaced, nonavulsive fractures of the talar body are rare and can be difficult to recognize. Aviator astragalus is an antiquated reference to a pattern of isolated fracture/dislocation injury of the talus. Nov 1, 2021 · Talus fractures are disabling injuries. Fractures included under this name include compression fractures of the talar neck, fractures of the body, posterior process or fracture- Apr 15, 2024 · Aviator astragalus is an antiquated term for a pattern of isolated fracture-dislocation injury of the talus. It emphasizes the mechanisms of injury, radiological examination methods, clinical presentation, and treatment options for specific fracture types. Goals of Management Immediate reduction of dislocated joints Vascularity Cutaneous tension Vascular compromise Anatomic fracture reduction‐ timing? Stable fixation Facilitate union Avoid complications The document discusses talus fractures, detailing their anatomical features, vascular supply, and classification, including Hawkins' classification for different types of talar fractures. Jan 9, 2022 · Hawkins classification: Classification system for talar neck fractures. Anderson coined the term ‘aviator’s astragalus’ to describe the injury. The role of the talus in lower extremity function, the complexity of its anatomy, and variability in fracture patterns often complicate the management of talus fractures. doi: 10. 3. One of the first series of talar fractures were reported in pilots and parachutists of the Royal Air Force during the First World War, hence the term “aviator’s astragalus” (7). 1302/0301-620X. com Fractures and fracture-dislocations of the neck of the talus--In simple fractures displacement between the proximal and distal fragments isminimal and insignificant. [1] reported a series of talus fracture dislocations in which they emphasized dorsiflexion as the mechanism of injury and coined the term “aviator’s astragalus” (astragalus being another term for talus) because of the impressive frequency with which the mechanism Still practiced today, this procedure is reserved for severe cases. Talar neck fractures are high high-energy injuries which are usually caused by forced dorsiflexion with the axial load. This is an antiquated term for talar injuries History - First coined in 1919 by Henry Graeme Anderson, who was a consulting surgeon for the Royal Flying Corps during World War I. Prevention and early diagnosis are crucial for aviator's Aviator's Astragalus Fractures included under this name include compression fractures of the talar neck, fractures of the body, fractures of the posterior process, or fracture dislocation injuries. [15] described a similar fracture pattern. [12, 13] They are commonly the result of high-energy trauma and are associated with other bony and soft "AVIATOR'S ASTRAGALUS"Abstract 1. The use of external fixator with internal osteosynthesis represents a good therapeutic option in Hawkins 3 and 4 type fractures. An old case of third degree "aviator's astragalus" with adduction fracture of medial malleolus and gross medial displacement of foot An old case of third degree "aviator's astragalus" with adduction fracture of medial malleolus and gross medial displacement of foot Nov 1, 2021 · Talus fractures are disabling injuries. 06% report of the dislocations the case of and 2% of the traumas accident. Jun 26, 2020 · Historically, fractures to the talar neck have been called “aviator’s astragalus” because they were seen in pilots after crash landings of airplanes during World War I. Jun 30, 2019 · Talus fractures occur rarely but are often associated with complications and functional limitations. Complicated fracture patterns combined with joint dislocation of vari-able degrees requires accurate assessment, sound understanding of principles of fracture care, and broad command of internal fixation techniques needed for success-ful surgical care. May 23, 2023 · Point of Care - Clinical decision support for Talus Fracture. Abstract Talar fracture in children is extremely rare. The mechanism of this injury and pathophysiology are explained to support the rationale for urgent reduction and stabilization. Hawkins LG. Aug 17, 2024 · The potential for long-term problems in talar neck fractures can be high. Historically, this was called “aviator’s astragalus” and Jun 14, 1999 · Talar Neck Fractures Talar neck fractures comprise over half of all injuries to the talus. J Bone Joint Surg. Study with Quizlet and memorize flashcards containing terms like Aviator's astragalus, Barton's fracture, Bennett's fracture and more. Despite advances made in their management, they continue to have high complication rates. ” In the early 20th century, plane crashes at sub-lethal speeds were common, resulting in high-impact injuries to the foot including talus fractures. The complex morphology of the talus, it's multiple articulations and tenuous blood supply translate into significant challenges that must be overcome to achieve the best possible outcomes. Fractures included under this name include compression fractures of the talar neck, fractures of the body, posterior process or fracture-dislocation injuries. The talar neck impinges against the anterior lip of the tibia and fractures. The term is still used today. Nonetheless Apr 15, 2024 · Aviator astragalus is an antiquated term for a pattern of isolated fracture-dislocation injury of the talus. Nov 3, 2024 · Talar fractures are an uncommon injury, accounting for <5% of all foot fractures. This is a classic and historic paper in which a large series of ‘Aviator’s astragalus’ being in modern parlance fractures of the talus are reviewed. [1] reported a series of talus fracture dislocations in which they emphasized dorsiflexion as the mechanism of injury and coined the term “aviator’s astragalus” (astragalus being another term for talus) because of the impressive frequency with which the mechanism Oct 20, 2025 · Curious why the talar neck fracture is called an aviator fracture? Discover the history behind the name, its causes, symptoms, and modern treatment options. Fractures of the neck of the talus. 8 likes, 0 comments - doc. This type of fracture often occurs during a high-energy event, such as a car collision or a high-velocity fall. The fracture fragment was sub-luxed at the tibiotalar joint, but not at the subtalar or talonavicular joints. Fractures included under this name include compression fractures of the talar neck, fractures of the body, posterior process or fracture- Introduction Since the early descriptions by Anderson [1] and others of the “aviator’s astragalus,” fractures of the talus have earned a reputation as a problematic fracture and are generally thought to be relatively uncommon [2]. Although fractures and dislocations of the talus have been described since 1608 the rarity of the more severe and complicated injuries has meant a dearth of accurate Jun 12, 2016 · Visit the post for more. Treatment and management. They represent one of the most common types of talus fracture (~30-50%), along with chip and avulsion fractures of the talus (~ Fractures of the talus are difficult injuries. Apr 15, 2024 · Aviator astragalus is an antiquated term for a pattern of isolated fracture-dislocation injury of the talus. Oct 29, 2023 · Talar neck fractures are a most common fracture of talus and account for about 50% of the talar fractures. Feb 23, 2012 · The talus, a highly specialized bone with a unique anatomic design, is crucial for normal ambulation. Jul 27, 2013 · Although fractures and dislocations of the talus have been described since 1608 the rarity of the more severe and complicated injuries has meant a dearth of accurate descriptions or classification May 4, 2024 · Talus fractures and fracture-dislocations are rare conditions that are associated with high risk of complications and long-term disability. Since the early descriptions by Anderson and others of the “aviator’s astragalus” fractures of the talus have earned a reputation as a problematic fracture [1]. The talus is a weight bearing bone, and in healthy subjects it is very resistant to traumas as it has very thick subchondral bone. Talar fractures: long-term results. He described 18… Apr 25, 2021 · Case: A 29-year old male patient sustained an isolated fracture of the left talus in a fall down a staircase. #doctor #doctorslife #orthopedics #xray #physician #instareels #surgeon #surgery #medical #medstudent #medicos #medicine #reels #fracture #bone #management #knowledge #instadaily #neet #plab #usmle # The presence of Hawkins sign is a reliable predictor of AVN talus. Hindfoot fractures account for approximately 17% of foot and ankle fractures, with calcaneal fractures being more common than talar fractures. mukaramistic on July 4, 2024: "Aviator Astragalus (Neck of Talus Fx) Its fracture of the neck of the talus resulting from forced dorsiflexion of the ankle. When bracing for impact, the sole of the pilot’s foot is pressed against the rudder bar, where the talus absorbs the force of the axial load and becomes the centre of fracture 3. 8 Fractures of talus can be fixed using K-wires, cannulated screws and plates, but in our study, we used cannulated screws in all patients. However, talus process injuries may occur secondary to moderate or low energy mechanisms [1]. 1. Fractures of the talus were first described in parachutists and pilots of the Royal Air Force who sustained these injuries upon impact with the ground, hence termed Aviator’s Astragalus The results with surgical management of these fractures have Study with Quizlet and memorize flashcards containing terms like Aviator's Astragalus, Baseball Finger, Bennet's Fracture and more. Bilateral fracture-dislocation of the talus is a rare occurrence. Surgical treatment of talus fractures is challenging for even the most skilled foot and ankle surgeons. Talus is the Latin name for the Greek Talos, the bronze giant Aviator astragalus is an antiquated reference to a pattern of isolated fracture/dislocation injury of the talus. Dec 9, 2010 · Hafez et al. The majority of talar body fractures represent avulsive injuries or are associated with obvious displacement or dislocation. The talus is located in the hindfoot and permits pain-free motion of the ankle, subtalar, and transverse tarsal joints. Fractures included under this name include compression fractures of the talar neck, fractures of the body, posterior process or fracture- A series of 228 injuries of the talus occurring in members of the Royal Air Force between 1940 and 1943 has been reviewed, together with a review of the pathological anatomy, clinical features, and methods of treatment. 06% of the dislocations and 2% of the traumas of the talus. The talus contributes to three essential joints of the foot and about two thirds of its surface are covered by cartilage. 5% of all fractures and approximately 50% of all the talar fractures. Mar 11, 2022 · The hindfoot consists of the talus and calcaneus, spans the tibiotalar to transverse tarsal joints, and is critical for support of body weight and absorption and transfer of physiologic loads during bipedal movements. 1952 Nov;34-B (4):545-66. Talus fractures were historically referred to as “Aviator’s astralgus. We report the case of a 29-year-old Jan 3, 2024 · Talar neck fractures are relatively uncommon but potentially devastating injuries with often life-altering sequelae. The talus, a highly specialized bone with a unique anatomic design, is crucial for normal ambulation. 1 Mechanism. This lecture is part of a complete lectures series on the course you can find in my uploaded files. Mar 1, 2019 · This injury was once termed aviator's astragalus by Anderson (2), who described a fracture of the talus sustained during forced dorsiflexion that occurred during crash landings of World War I pilots. A series of 228 injuries of the talus occurring in members of the Royal Air Force between 1940 and 1943 has been reviewed. Urgent reduction of associated dislocations is recommended with open-reduction and internal fixation of displaced fractures when adjacent soft tissue injury permits [1]. 1970; 52 (5): 991-1002. As a “bony meniscus” without direct muscle attachments it provides the junction between the lower leg and the foot. Jan 14, 2015 · As reported by Coltart [5], Fabricius von Hilden first described talus injuries in 1608, and in 1919, Anderson et al. The fracture fragment was subluxed at the tibiotalar joint, but not at the subtalar or talonavicular joints. We report the case of a 29-year-old patient with an exposed bilateral fracture of the talus following a Aviator's astragalusJ Bone Joint Surg Br. Jan 12, 2025 · Key Takeaways: Aviator's fracture, also known as a fracture of the neck of the talus, is a rare but serious injury often caused by high-impact situations like car accidents or falls from significant heights. We report the case of a 29-year-old patient with an Purpose This historical review aims to highlight the important roles of the talus in antiquity and to summarise the multiple attempts of managing talar fractures throughout history. ABSTRACT Bilateral It fracture-dislocation of the talus is a rare occurrence. This article reviews the literature on talar fractures and their treatments. Introduction, Etiology, Epidemiology, Pathophysiology, History and Physical, Evaluation, Treatment / Management, Differential Diagnosis, Prognosis, Complications, Pearls and Other Issues, Enhancing Healthcare Team Outcomes Jul 18, 2015 · Aviator astragalus is an antiquated term for a pattern of isolated fracture-dislocation injury of the talus. Fractures Apr 15, 2024 · Aviator astragalus is an antiquated term for a pattern of isolated fracture-dislocation injury of the talus. Keywords: aviator, bilateral fracture dislocation, talus Aviator’s Fracture - Bilateral Fracture-Dislocation of Talus in a 29-year-old Patient: A Case Report References Pogliacomi F, De Filippo M, Soncini G, Frattini M. The patient underwent open reduction internal fixation (ORIF) of the talus via a dual-incision Study with Quizlet and memorize flashcards containing terms like Aviator's Astragalus, Baseball Finger, Bennett's Fracture and more. We report a case of talar neck fracture in a 9-year-old boy which does not match with any type of Hawkins' classification. [1] reported a series of talus fracture dislocations in which they emphasized dorsiflexion as the mechanism of injury and coined the term ‘‘aviator’s astragalus’’ (astragalus being another term for talus) because of the impressive frequency with which the May 31, 2017 · Fractures of the talus were first described in parachutists and pilots of the Royal Air Force who sustained these injuries upon impact with the ground, hence termed aviator’s astragalus [4, 5]. In addition, a talus fracture that does not heal properly can lead Aug 31, 2021 · Coltart WD. These fractures are rare but can have severe and life-changing consequences, leading to permanent stiffness, deformities, and pain in the foot. High energy injury usually associated with forced dorsiflexion and axial load. Recognition of the unique talar anatomy is important for correct diagnosis. 545. Talar neck fractures are fractures to a part of the foot bone known as the talus, specifically the neck of the talus. Aviator's astragalus is an old, almost obsolete term for a pattern of isolated fracture plus or minus dislocation injury of the talus1. 1952; 34B:545–66. They report a closed coronal fracture through the body of the talus with pantalar dislocation; the talus had "rotated 90 degrees laterally" in the transverse plane. Most injuries to the talar neck and body result from high energy trauma. Associated with risk of avascular necrosis (AVN) Hawkins Type I: Nondisplaced talar neck fracture Background “Aviator’s Astragalus”, Anderson 1919 (pilots bracing against rudder controls) Forced dorsiflexion of foot Fall from height MVC Talus: 0. Classification system for vertical neck fractures of the talus, the commonest type of talus fracture. This is the original paper in which Hawkins outlines his classification into Fractures of the talus are associated with significant morbidity in view of the blood supply, and these can be challenging for surgeons to manage. Delay in diagnosis and therapy may be associated with an increased risk of osteonecrosis, malunion, secondary osteoarthritis, and other complications. See full list on rxharun. The talus may be injured at the head, neck, body, or posterior process. To the best of the authors Bilateral fracture-dislocation of the talus is a rare occurrence. 2 Anderson3 first coined the term aviator’s astragalus, referring to fractures of the talus in World War I pilots in crash landings, when the rudder pedal caused forced dorsiflexion of the foot on impact. We present two May 23, 2023 · Point of Care - Clinical decision support for Talus Fracture. 1%-0. In 1919, Anderson described talar fractures and used the term of aviator astragalus in his series. The complex morphology of the talus, it's multiple articulations and tenuous blood supply translate into significant challenges that must be overcome to achieve the best possible outcomes Dec 21, 2012 · Fractures of Talus, Subtalar Dislocations, Talar Neck Fractures, Muscular Insertions, Avascular Necrosis, Post-Traumatic Arthritis, Hyperdorsiflexion, Aviator Astragalus are some points from this lecture. Because the talus is important for ankle movement, a fracture often results in significant loss of motion and function. We 0. w5 xv6 n15 qyi yhomlncy gr7sao 6k3 oao xuhthy xzlb