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March 1963

An Unusual Osteochondral Fracture of the Talus

Author Affiliations

Department of Surgery, Section of Orthopedic Surgery, University of Michigan Medical Center, and Section of Orthopedic Surgery, St. Joseph Mercy Hospital.

Arch Surg. 1963;86(3):430-434. doi:10.1001/archsurg.1963.01310090080015

The presence of a loose body in the ankle joint, after osteochondritis dissecans or an osteochondral fracture of the talus, has been frequently described. Initially, isolated single cases were reported; more recently authors have reported larger series in an attempt to define the etiology and clinical course of this condition.1,11 They have placed special emphasis on thorough clinical and radiographic evaluation of the painful ankle to detect these osteochondral fragments.1,3,4,10,11 Prompt surgical removal of the loose body seems to offer the best opportunity for clinical relief and the avoidance of the probability of prolonged incapacitation.1,3,11 The following report describes a very unusual injury to the talus which resulted in the formation of a loose osteochondral fragment. It is unique because of the site of injury and the eventual anatomic location of the loose body. It is characteristic of this general type of injury, however, in that the

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