Lateral process fractures
Eponymous name
Snowboarder's fracture
Epidemiology
10% talus fractures
Second to talar neck fractures
Snowboarder's fracture
10% talus fractures
Second to talar neck fractures
Direct Lateral - transgluteal
Postero-lateral (AKA posterior) - release short external rotators
Direct Anterior
Gait / outcomes
Meermans et al Bone Joint J 2017
- systematic review of 42 studies comparing Direct Anterior / Posterior / Lateral
Arthroscope in lateral portal
Clear fat pad
Ensure can see entire dimensions of OCD
If fragment is displaced, reduce and pin with accessory K wire
Rare
Medial
- 80%
- calcaneum dislocated medially
Lateral
- 20%
- higher energy injury
Medial Parapatellar
Medial
Lateral
Posterior
Modified Posterior
Indications
Synovectomy
Patellectomy
TKR
Technique
Fracture / plastic malformation of proximal ulna with dislocation of radial head
Radio-capitellar line disrupted