Snapshot A 16-year-old woman presents to her pediatrician due to right ankle pain. She reports that prior to symptom onset she was in cheerleading practice, where she fell from an elevated position but landed on her right foot. Since the fall she has experienced severe pain, swelling of the ankle, and an inability to bear weight on the affected foot. On physical exam, there are no open wounds. The right ankle is swollen and tender to palpation. Range of motion of the ankle is limited and dorsalis pedis and posterior tibialis pulses are present. Strength exam is limited by pain. A three-view ankle series radiograph of the ankle demonstrates a talus fracture. Introduction Clinical definition login to view 1 more bullet Epidemiology Incidence login to view 1 more bullet Etiology Falling from a significant height High energy trauma Pathoanatomy login to view 6 more bullets Presentation Symptoms login to view 2 more bullets Physical exam login to view 3 more bullets Imaging Radiography login to view 2 more bullets Computerized tomography (CT) scan login to view 2 more bullets Differential Soft tissue injury login to view 2 more bullets DIAGNOSIS Making the diagnosis login to view 1 more bullet Treatment Treatment depends on the type of talus fracture Conservative login to view 3 more bullets Operative login to view 3 more bullets Complications Avascular necrosis Osteoarthritis Malunion or nonunion Prognosis Higher-energy injuries are associated with a worse prognosis