Background: Less than one percent of all foot and ankle fractures are caused by talar neck fractures. Arthritis, osteonecrosis, and fractures due to malunion were also common. High suspicion is needed to identify talar process fractures, especially in the context of ankle sprain-like processes including inversion and/or eversion, as these injuries are difficult to detect on routinely radiographs.
Objective: This review article aimed to characterize talus neck fractures and their clinical and radiological diagnosis.
Methods: These databases were searched for articles published in English in 3 data bases [PubMed – Google scholar- science direct] and Boolean operators (and, OR, not) had been used such as [Talar fractures, foot & ankle fractures] and in peer-reviewed articles between May 1977 and January 2021, no language limitations, and filtered in selected data basis. However, the range of time interval for researches was wide as there was scarcity of data on the particular reviewed, accurate and depth in the retrieved literature. Documents in a language apart from English had been excluded as sources for interpretation. Papers apart from main scientific studies had been excluded (documents unavailable as total written text, conversation, conference abstract papers and dissertations).
Conclusion: In some cases, talar fractures are accompanied by soft tissue envelope damage (A common link between open talus fractures). Talar body extrusion and deltoid ligament encirclement are two distinct features of Hawkins type III fracture dislocations. It is typically possible to detect talar neck or body fractures by taking routine ankle radiographs.