Saqib Amin.
Fracture of posteriomedial process of the Talus.
J Surg Pak Jan ;8(4):41-2.

A 26 years old man fell from a height of 10 meters landing on his left foot in a plantar flexed position, Examination revealed diffuse swelling and tenderness of the ankle, No fracture was seen in the initial radiograph but the foot was immobilized in a cast below knee (short leg cast) for almost 6weeks. The cast was removed after 6/52 and rehabilitation was started, but the pain remained. A CT scan was done and a fracture of the medial tubercle of the posterior process was identified. Three months after the injury using a posteromedial approach the whole fragment was excised. With 6 week of physiotherapy the pain disappeared and the range of the motion gradually returned to normal.

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