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World J Orthop. Jul 18, 2014; 5(3): 398-401
Published online Jul 18, 2014. doi: 10.5312/wjo.v5.i3.398
Published online Jul 18, 2014. doi: 10.5312/wjo.v5.i3.398
Delayed presentation of a loose body in undisplaced paediatric talar neck fracture
Vishal Patel, Benjamin Bloch, Nicholas Johnson, Jitendra Mangwani, Department of Trauma and Orthopedics, Musculoskeletal Directorate, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Leicester LE1 5WW, United Kingdom
Author contributions: Patel V contributed to main body of report; Bloch B contributed to discussion section; Johnson N contributed to literature search; Mangwani J is senior author, supervisor and technical advisor of the paper.
Correspondence to: Jitendra Mangwani, MBBS, FRCS, (Tr and Orth) Senior author, Department of Trauma and Orthopedics, Musculoskeletal Directorate, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester LE15WW, United Kingdom. jitendra.mangwani@uhl-tr.nhs.uk
Telephone: +44-0300-3031573 Fax: +44-0116-2502777
Received: January 14, 2014
Revised: April 15, 2014
Accepted: June 10, 2014
Published online: July 18, 2014
Revised: April 15, 2014
Accepted: June 10, 2014
Published online: July 18, 2014
Core Tip
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.