Published online Jul 18, 2014. doi: 10.5312/wjo.v5.i3.398
Revised: April 15, 2014
Accepted: June 10, 2014
Published online: July 18, 2014
Core tip: Undisplaced talar neck fractures in children rarely present with an associated osteochondral loose body. If a child remains symptomatic after fracture healing we would advocate further evaluation with magnetic resonance imaging (MRI) scan to exclude an associated loose body. If a loose body or an osteochondral lesion is identified on MRI scan it can be safely treated with anterior ankle arthroscopy.