A Patient with Osteocartilaginous Fracture of the Talus

We encountered a patient with osteocartilaginous fracture of the talus considered to have been caused by sports activities. Osteocartilaginous fracture, stage III by Berndt' s radiographic classification, was noted on plain radiography and CT posteriorly to the upper medial margin of the pulley of the talus in a 16-year-old male. The injury had occurred about a year before our initial examination. Considering that the patient was active in sports, we treated this 1-year-old stage III fracture by percutaneous retrograde bone perforation, to avoid damage to the articular cartilage, followed by 2-month application of PTB braces. At present, 5 months after the operation, no marked changes have been observed in CT, but the patient is asymptomatic, and the results are clinically safisfactory. This case is presented with a review of the literature and a discussion.