Extra-articular Fractures

 

Extra-Articular  (25%) 

 

Posterior tuberosity avulsion

Anterior Process fracture

Sustentaculum Tali

 

Tuberosity avulsions fractures

 

See boneschool page

 

Anterior process

 

Attachment of bifurcate ligament

Part of complex sprain

 

 

 

Management

 

Small

- non operative

- excise later if painful

 

Large and displaced

- ORIF

 

Sustentacular fractures

 

ORIF if displaced

 

Medial approach with buttress plate