Combined ipsilateral fracture of the tibial shaft, lateral malleolus, and talar neck: A case report

Talar fractures, accounting for approximately 2% of all lower extremity injuries and 5%–7% of foot injuries, are common and typically involve the talar head and neck. Avascular necrosis of the talus is one of the most challenging complications encountered in post-traumatic hindfoot reconstruction. A 21-year-old man presented to the emergency department with an open wound, deformity, and multiple traumatic injuries to the right lower limb following a motorcycle accident. Examination of the right lower extremity revealed a 3-cm open wound on the distal third of the lateral cruris, deformity upon inspection, normal vascular status in all extremities, and hypoesthesia on the dorsal aspect of the left foot. This study emphasizes that talar fractures can occur along with tibial and fibular shaft fractures in high-energy trauma cases. However, owing to their association with complex injuries, talar fractures may be overlooked during initial assessments.