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Foot & Ankle Problems Message Board


Foot & Ankle Problems Board Index


Ouch!!!! It's a shame that you couldn't get a referral to an orthopedic surgeon initially.
How old are you? You sound like you are a big tennis player.
Let me preface this by saying that not all talar fractures are the same.
If you do much research into fractures of the talus, you will see that sometimes it is difficult to see minor fractures or chip fractures. Unfortunately, it isn't until a few weeks or months later when the swelling goes down, you begin to put weight on it, and you begin having residual complications that they take another x-ray...that is when they find out that you indeed had a minor fracture. Sometimes the swelling does make it more difficult for an accurate diagnosis to be rendered. But, they should have referred you to an orthopedist after the swelling had gone down.
Sorry to hear that you have gone so long with your medical condition misdiagnosed!!!! So, I hope that you don't have any soft tissue damage from being on it.
Talar fractures are known for being highly complicated to treat. They are truly a "bird of a different feather." They sometimes don't heal nicely. They are prone to developing arthritis and avascular necrosis (AVN). In severe cases, they can collapse. Doubt if you will develop AVN or if it will collapse since it appears that it may only be a minor fracture or chip fracture!!!!
I know a tiny bit about talar fractures and my experience with a rad tech is quite similar to yours. In 2000, I had a terrible car accident. Hit some trees head on and in the side, while trying to swat at a wasp that had gotten in my car. My car ran over one of the roots, the roots pushed the floorboard even with the dashboard, and the trees in front of the car pushed the floorboard closer to my body. My foot NEVER hurt until they took my shoe off to assess my injury!!!! When the shoe was removed, the pain was off the charts!!!!
Once I was able to look at my foot, the first thing that I noticed was that my foot was grossly deformed, horribly bruised, swollen, and my toes were curled under-and they couldn't be straightened. When the rad tech took the x-rays, she looked at them and reported that she couldn't see any fractures. Even though everyone that looked at it could tell that it was.
The first thing the ER doctor told me was that I really messed up my foot and would have to be taken to the OR as soon as the orthopedic surgeon got to the hospital as he was "on call" for the night. The orthopedist told me that there was not any blood supply getting to it, that I had a 70% chance that it would collapse, and that my talus was fractured and dislocated, the body of the talus had dislocated posteriorly, and locked into the heel.
Yet, after this horrible prognosis and diagnosis, the rad tech still swore that no bones were broken.
Turning corners on a dime is difficult, running and jumping are impossible, walking on uneven surfaces is difficult, walking on sand, gravel, pebbles, and rocks is laborious. But, once again, not all talar fractures the same. Just getting you prepared. Talar fractures, especially severe ones or those that are complicated with dislocation, have a much worse prognosis. They are usually disabling injuries and result in a life-altering experience.
I would suggest that you do some research and write down any questions that you may have for the doctor. Remember, not all talar fractures are the same nor do they all have the same prognosis





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