Avascular Necrosis of the Talar Head

Avascular Necrosis of the Talar Head

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What is Avascular Necrosis of the Talar Head?

  • Avascular necrosis (AVN) of the talar head occurs when blood supply to the talar bone is disrupted, leading to bone tissue death. This can cause significant pain, loss of ankle function, and potential collapse of the talus. Early diagnosis and treatment are critical to prevent severe joint damage and disability.

    • Avascular Necrosis of the Talar Head Statistics

  • Avascular necrosis is responsible for about 15% of cases of ankle arthritis in older adults. Early intervention can improve outcomes significantly. Source

    • Avascular Necrosis of the Talar Head Anatomy

  • The talar head is a crucial component of the talus, involved in the articulation between the foot and leg.
  • It plays a key role in movements like walking and running.

    • Avascular Necrosis of the Talar Head
    Signs & Symptoms

  • Pain in the ankle or foot.
  • Swelling around the ankle joint.
  • Limited range of motion.
  • Limping due to pain and instability.

    • Causes of Avascular Necrosis of the Talar Head

  • Trauma such as fractures or dislocations.
  • Long-term corticosteroid use.
  • Alcohol abuse.
  • Blood disorders like sickle cell disease.
  • Decompression sickness.

    • Risk Factors for Avascular Necrosis of the Talar Head

  • High-impact trauma to the ankle.
  • Prolonged corticosteroid therapy.
  • Excessive alcohol consumption.
  • Underlying blood disorders.

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    Prevalence of Avascular Necrosis of the Talar Head

  • AVN is relatively rare but can lead to significant morbidity, particularly in patients with high-risk factors like steroid use or trauma.

    • Assessment & Diagnosis of Avascular Necrosis of the Talar Head

  • Physical examination to assess pain and range of motion.
  • X-rays to detect bone changes.
  • MRI for early detection and detailed imaging.

    • Rehabilitation & Physiotherapy for Avascular Necrosis of the Talar Head

  • Focus on maintaining joint function and reducing pain.
  • Rehabilitation includes range of motion exercises and strengthening.
  • Use of orthotics to support the foot and relieve stress.

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    Avascular Necrosis of the Talar Head FAQs

    Avascular necrosis in the talar head can be caused by trauma, long-term corticosteroid use, alcohol abuse, or blood disorders that impede blood flow to the bone.

    Treatment includes both non-surgical options like physical therapy and surgical interventions such as core decompression, bone grafting, or in severe cases, joint replacement.

    Prevention involves managing risk factors such as avoiding excessive steroid use and alcohol, and protecting the ankle from injury.

    Avascular Necrosis of the Talar Head References

  • Haskell A. Natural history of avascular necrosis in the talus
  • Parekh SG, Kadakia RJ. Avascular necrosis of the talus
  • Gross CE, Haughom B. Treatments for avascular necrosis of the talus

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