Welcome to Classifications and Online Calculators in Radiology

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that are used in radiology and related fields with free access.

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The concept of this website is based on a previous site that was founded in 2008 and is still up and running. The website is composed as a book, where all sources are properly referenced, according to a good practice in scientific publications.

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    Hawkin's classification of talar neck fractures

    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

    References:

    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.

    Images:

    Hawkin's type I to IV (left to to right)
    Hawkin's classification of talar neck fractures - type I Hawkin's classification of talar neck fractures - type II Hawkin's classification of talar neck fractures - type III Hawkin's classification of talar neck fractures - type IV

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