{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:20:50Z","timestamp":1777616450268,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2018,7,13]],"date-time":"2018-07-13T00:00:00Z","timestamp":1531440000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:p>Background: Peripheral fractures of the talus are uncommon. Almost all the literature regarding talar fractures consists of central intra-articular fractures, whereas studies about peripheral talar fractures are lacking. The aim of this study is to increase awareness in diagnosing an unusual peripheral extra-articular medial impression fracture of the talus. Methods: This study includes a retrospective case series of patients with an extra-articular medial impression fracture of the talus. Patient characteristics, trauma mechanism, diagnostics, fracture characteristics, and treatment were reported. Results: Eight consecutive patients with an extra-articular medial impression fracture of the talus were identified. In 80%, the trauma mechanism was a supination or inversion injury of the ankle and foot. An X-ray was obtained in all patients; in 7 (88%) patients, a computed tomography scan was done, and an additional magnetic resonance imaging was done in 3 (38%) patients. In 4 patients (50%), the correct diagnosis was missed at first presentation. The delay between injury and diagnosis was 0 to 180 days (of 36 days on average). Conclusion: This is the first case series to describe patients with a peripheral extra-articular medial impression fracture of the talus. Good clinical examination and judicious use of diagnostic imaging are a necessity to find the talar impression fractures in a timely manner, and treatment can be started immediately.<\/jats:p>\n                  <jats:p>Levels of Evidence: Level V<\/jats:p>","DOI":"10.1177\/1938640018788431","type":"journal-article","created":{"date-parts":[[2018,7,13]],"date-time":"2018-07-13T07:22:48Z","timestamp":1531466568000},"page":"553-558","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Extra-articular Medial Impression Fracture of the Talus: A Previously Undescribed Injury"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5665-2348","authenticated-orcid":false,"given":"Olivier","family":"Wijers","sequence":"first","affiliation":[{"name":"Trauma Unit, Academic Medical Center, Amsterdam, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa C.","family":"Looijen","sequence":"additional","affiliation":[{"name":"Trauma Unit, Academic Medical Center, Amsterdam, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens A.","family":"Halm","sequence":"additional","affiliation":[{"name":"Trauma Unit, Academic Medical Center, Amsterdam, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Schepers","sequence":"additional","affiliation":[{"name":"Trauma Unit, Academic Medical Center, Amsterdam, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,7,13]]},"reference":[{"key":"bibr1-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.01.021"},{"key":"bibr2-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2017.04.008"},{"key":"bibr3-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2412-6"},{"key":"bibr4-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2004.07.019"},{"key":"bibr5-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1007\/BF00266088"},{"key":"bibr6-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4136-x"},{"key":"bibr7-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2012.10.008"},{"key":"bibr8-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.06.041"},{"key":"bibr9-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1016\/j.fuspru.2016.01.001"},{"key":"bibr10-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2016.09.012"},{"key":"bibr11-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(98)80063-X"},{"key":"bibr12-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2010.11.008"},{"key":"bibr13-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-009-0796-8"},{"key":"bibr14-1938640018788431","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.11.7313"},{"key":"bibr15-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1177\/107110070002101208"},{"key":"bibr16-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-005-0993-1"},{"key":"bibr17-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1007\/s004020050208"},{"key":"bibr18-1938640018788431","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2016.03.008"}],"container-title":["Foot &amp; Ankle Specialist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640018788431","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1938640018788431","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640018788431","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:33:55Z","timestamp":1777412035000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1938640018788431"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,13]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["10.1177\/1938640018788431"],"URL":"https:\/\/doi.org\/10.1177\/1938640018788431","relation":{},"ISSN":["1938-6400","1938-7636"],"issn-type":[{"value":"1938-6400","type":"print"},{"value":"1938-7636","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,13]]}}}