• Talar neck fractures most common
  • Mechanism of injury : forced dorsiflexion with axial load
  • Investigations : x-ray and CT scan if needed
  • Non operative management for un-displaced (<2mm) fractures 
  • Hawkins classification is used for talar neck fractures
  • Displaced talar neck and/or body fractures should be treated with open reduction and internal fixation
  • Common complications include osteonecrosis, ankle stiffness, arthritis

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