PMID- 32405203
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220414
IS  - 0976-5662 (Print)
IS  - 2213-3445 (Electronic)
IS  - 0976-5662 (Linking)
VI  - 11
IP  - 3
DP  - 2020 May-Jun
TI  - Demographics, mechanism of injury, and associated injuries of 25,615 patients 
      with talus fractures in the National Trauma Data Bank.
PG  - 426-431
LID - 10.1016/j.jcot.2019.06.007 [doi]
AB  - BACKGROUND: Extensive research has been conducted concerning the epidemiology of 
      fractures of the calcaneus and ankle. However, less work has characterized the 
      population sustaining talus fractures, necessitating the analysis of a large, 
      national sample to assess the presentation of this important injury. METHODS: The 
      current study included adult patients from the 2011 through 2015 National Trauma 
      Data Bank (NTDB) who had talus fractures. Modified Charlson Comorbidity Index 
      (CCI), mechanism of injury (MOI), Injury Severity Score (ISS), and associated 
      injuries were evaluated. RESULTS: Out of 25,615 talus fracture patients, 15,607 
      (61%) were males. The age distribution showed a general decline in frequency as 
      age increased after a peak incidence at 21 years of age. As expected, CCI 
      increased as age increased. The mechanism of injury analysis showed a decline in 
      motor vehicle accidents (MVAs) and an increase in falls as age increased. ISS was 
      generally higher for MVAs compared to falls and other injuries.Overall, 89% of 
      patients with a talus fracture had an associated injury. Among associated bony 
      injuries, non-talus lower extremity fractures were common, with ankle fractures 
      (noted in 42.7%) and calcaneus fractures (noted in 27.8%) being the most notable. 
      The most common associated internal organ injuries were lung (noted in 19.0%) and 
      intracranial injuries (noted in 14.9%). CONCLUSION: This large cohort of patients 
      with talus fractures defined the demographics of those who sustain this injury 
      and demonstrated ankle and calcaneus fractures to be the most commonly associated 
      injuries. Other associated orthopaedic and non-orthopaedic injuries were also 
      defined. In fact, the incidence of associated lumbar spine fracture was similar 
      to that seen for calcaneus fractures (14%) and nearly 1 in 5 patients had a 
      thoracic organ injury. Clinicians need to maintain a high suspicion for such 
      associated injuries for those who present with talus fractures. LEVEL OF 
      EVIDENCE: Level II, retrospective study.
CI  - (c) 2019 Delhi Orthopedic Association. All rights reserved.
FAU - Anandasivam, Nidharshan S
AU  - Anandasivam NS
AD  - Yale School of Medicine, Department of Orthopaedics and Rehabilitation, 47 
      College Street, New Haven, CT, 06510, USA.
FAU - Bagi, Paul
AU  - Bagi P
AD  - Yale School of Medicine, Department of Orthopaedics and Rehabilitation, 47 
      College Street, New Haven, CT, 06510, USA.
FAU - Ondeck, Nathaniel T
AU  - Ondeck NT
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 E 70St., New 
      York, NY, 10021, USA.
FAU - Galivanche, Anoop R
AU  - Galivanche AR
AD  - Yale School of Medicine, Department of Orthopaedics and Rehabilitation, 47 
      College Street, New Haven, CT, 06510, USA.
FAU - Kuzomunhu, Lovemore S
AU  - Kuzomunhu LS
AD  - Yale School of Medicine, Department of Orthopaedics and Rehabilitation, 47 
      College Street, New Haven, CT, 06510, USA.
FAU - Samuel, Andre M
AU  - Samuel AM
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 E 70St., New 
      York, NY, 10021, USA.
FAU - Bohl, Daniel D
AU  - Bohl DD
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St Suite 400, Chicago, IL, 60612, USA.
FAU - Grauer, Jonathan N
AU  - Grauer JN
AD  - Yale School of Medicine, Department of Orthopaedics and Rehabilitation, 47 
      College Street, New Haven, CT, 06510, USA.
LA  - eng
GR  - UL1 TR001863/TR/NCATS NIH HHS/United States
PT  - Journal Article
DEP - 20190608
PL  - India
TA  - J Clin Orthop Trauma
JT  - Journal of clinical orthopaedics and trauma
JID - 101559469
EIN - J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1169-1171. PMID: 33013141
EIN - J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1172-1174. PMID: 33192025
EIN - J Clin Orthop Trauma. 2021 Aug 05;21:101557. PMID: 34414071
PMC - PMC7211819
OTO - NOTNLM
OT  - Associated injuries
OT  - Mechanism of injury
OT  - Talus
OT  - Talus fracture
EDAT- 2020/05/15 06:00
MHDA- 2020/05/15 06:01
PMCR- 2021/05/01
CRDT- 2020/05/15 06:00
PHST- 2018/08/18 00:00 [received]
PHST- 2019/05/15 00:00 [revised]
PHST- 2019/06/07 00:00 [accepted]
PHST- 2020/05/15 06:00 [entrez]
PHST- 2020/05/15 06:00 [pubmed]
PHST- 2020/05/15 06:01 [medline]
PHST- 2021/05/01 00:00 [pmc-release]
AID - S0976-5662(18)30416-8 [pii]
AID - 10.1016/j.jcot.2019.06.007 [doi]
PST - ppublish
SO  - J Clin Orthop Trauma. 2020 May-Jun;11(3):426-431. doi: 
      10.1016/j.jcot.2019.06.007. Epub 2019 Jun 8.