Hawkin's classification system divides fractures of the neck of talus into four types according to the degree of displacement and resulting risk of avascular necrosis. Higher type implies greater risk of complications.
Type | Description | Subluxation | Avascular necrosis |
---|---|---|---|
Type I | Undisplaced fracture of talar neck | no | rare |
Type II | Fracture of talar neck with mild displacement | subtalar joint | occasional |
Type III | Fracture of talar neck with moderate displacement | subtalar and ankle joint | frequent |
Type IV | Fracture of talar neck with severe displacement | subtalar, ankle and talonavicular joint | common |
1. Hawkins LG. Fractures of the neck of the talus. J Bone Joint Surg Am. 1970 Jul;52(5):991–1002.
2. Juliano PJ, Dabbah M, Harris TG. Talar neck fractures. Foot Ankle Clin. 2004 Dec;9(4):723–736, vi.
3. Singh S, Tsai C-H, Kim A, Dailey T. Talar Neck Fracture Reduced and Stabilized with an Ilizarov External Fixator: A case report with three year follow up. The Foot and Ankle Online Journal 2010
4. Rammelt S, Zwipp H. Talar neck and body fractures. Injury. 2009 Feb;40(2):120–35.
Hawkin's type I to IV (left to to right)