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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 7/2018

Open Access 01-07-2018 | Ankle

Talus bipartitus: a systematic review and report of two cases with arthroscopic treatment

Authors: Ruben Zwiers, Peter A. J. de Leeuw, Gino M. M. J. Kerkhoffs, C. Niek van Dijk

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2018

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Abstract

Purpose

The aim of this study was to provide a literature review on talus bipartitus and to introduce an arthroscopic treatment option.

Methods

A systematic review of published case reports and small case series was performed. Medline, Embase, CINAHL, Google Scholar and Web of Science databases were searched for relevant publications. In addition, three cases of talus bipartitus treated in our institute were discussed.

Results

Eleven articles were identified, reporting on 23 patients, of whom one patient had a bilateral talus bipartitus. Fourteen were males (61%). The median age at presentation was 15.5 years (IQR 14–24.3). In 21 of the symptomatic cases (96%), the patient experienced ankle pain, and 13 had a restricted range of motion (54%). In our institution, two patients were treated arthroscopically and had excellent short- and long-term outcomes.

Conclusion

Talus bipartitus is a rare anatomical anomaly. Symptoms are characterized by pain and restricted subtalar motion in young patients. Surgical treatment is focused on either fixation or excision of the bony fragment. Our two cases have demonstrated that an arthroscopic approach can be a safe and effective treatment option in patients with a symptomatic talus bipartitus.

Level of evidence

IV.
Literature
1.
Blauth W, Harten K, Kirgis A (1986) Frontal talus cleft–talus bipartitus. Z Orthop Ihre Grenzgeb 125(3):302–307CrossRef
2.
Cedell CA (1974) Rupture of the posterior talotibial ligament with the avulsion of a bone fragment from the talus. Acta Orthop Scand 45(3):454–461CrossRefPubMed
3.
Chandoga I, Vajcziková S (2012) Talus partitus. Kazuistika. Acta Chir Orthop Traumat Czechoslov 79(1):80–83
4.
Čihák R (1972) Ontogenesis and homologies of human carpal and tarsal components. In: Ontogenesis of the skeleton and intrinsic muscles of the human hand and foot. Springer, Berlin, pp 12–59
5.
Eichenbaum MD, Austin LS, Raikin SM (2010) Chronic ankle pain secondary to talus partitus: two case reports. Foot Ankle Int 31(3):247–250CrossRefPubMed
6.
Griffet J, Habre J, Abou-Daher A, El Hayek T (2004) Talus bipartitus. Rev Chir Orthop Reparatrice Appar Mot 90(4):369–371CrossRefPubMed
7.
Hamel J, Braun A (1998) Bildgebende diagnostik am Fuss. Fuss: Erkrankungen und Verletzungen Darmstadt, Germany: Steinkopff, pp 14–22
8.
Hoerr NL, Pyle SI, Francis CC (1962) Radiographic Atlas of Skeletal Development of the Foot and Ankle: a standard of reference. Charles C Thomas, Springfield
9.
Mann HA, Myerson MS (2010) Treatment of posterior ankle pain by excision of a bipartite talar fragment. J Bone Joint Surg Br 92(7):954–957CrossRefPubMed
10.
11.
Pfitzner W (1896) Beiträge zur Kenntniss der Missbildungen des menschlichen Extremitätenskelets. In: Schwalbe (ed) Morph Arb. 6. Jena, pp 245–528
12.
Rammelt S, Zwipp H, Prescher A (2011) Talus bipartitus: a rare skeletal variation. JBJS Case Connect (6): e21
13.
Rose B, Southgate C, Louette L (2013) Bipartite talus: a case series and algorithm for treatment. Foot Ankle Surg 19(2):96–102CrossRefPubMed
14.
Scholten P, Sierevelt I, Van Dijk C (2008) Hindfoot endoscopy for posterior ankle impingement. J Bone Joint Surg 90(12):2665–2672CrossRefPubMed
15.
Schreiber A, Differding P, Zollinger H (1985) Talus partitus: a case report. J Bone Joint Surg Br 67(3):430–431CrossRefPubMed
16.
Serrato J, Bennett J (2012) Adolescent fracture of the talus associated with talus partitus. J Surg Orthop Adv 22(2):164–167CrossRef
17.
Strehle E (1928) Über Abnormitäten im Bereich der Tarsalknochen und ihre klinische Bedeutung: mit besonderer Berücksichtigung eines selbst beobachteten Falles einer Talusmißbildung: Oberreuter, pp 5–12
18.
Thiel E, Feibel J, Chorey N, Gorsline R (2010) Bipartite talus: a case report. Foot Ankle Int 31(6):552–555CrossRefPubMed
19.
Tsuruta T, Shiokawa Y, Kato A, Matsumoto T, Yamazoe Y, Oike T et al (1981) Radiological study of the accessory skeletal elements in the foot and ankle (author’s transl). Nihon Seikeigeka Gakkai Zasshi 55(4):357–370PubMed
20.
van Dijk CN, de Leeuw PA, Scholten PE (2009) Hindfoot endoscopy for posterior ankle impingement: surgical technique. J Bone Joint Surg Am 91(Suppl 2):287–298CrossRefPubMed
21.
van Dijk CN, Scholten PE, Krips R (2000) A 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology. Arthroscopy 16(8):871–876CrossRefPubMed
22.
Weinstein S, Bonfiglio M (1975) Unusual accessory (bipartite) talus simulating fracture: a case report. J Bone Joint Surg 57(8):1161–1163CrossRefPubMed
Metadata
Title
Talus bipartitus: a systematic review and report of two cases with arthroscopic treatment
Authors
Ruben Zwiers
Peter A. J. de Leeuw
Gino M. M. J. Kerkhoffs
C. Niek van Dijk
Publication date
01-07-2018
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2018
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-017-4613-8

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