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Bilateral Isolated Fractures of the Sustentaculum Tali

A Case Report

Radley, Joseph M. MD1; Nicolaou, Daemeon A. MD2

doi: 10.2106/JBJS.CC.18.00238
Case Reports

Case: This article presents a case of bilateral isolated fractures of the sustentaculum tali. Subtle radiographic findings of sustentaculum fractures on routine foot and ankle series are often difficult to detect, which can result in a delayed diagnosis. Early diagnosis and timely operative management allowed for a good short-term outcome.

Conclusions: We emphasize the importance of a thorough physical examination in all high-energy trauma patients and an awareness of less common injury patterns that are subtle on radiographs and may require further workup. When clinical suspicion exists, we recommend the use of computed tomography scans for evaluation.

1Department of Orthopaedic Surgery, University of Pittsburgh Medical Center—Hamot, Erie, Pennsylvania

2Department of Orthopaedic Surgery, Saint Louis University, Saint Louis, Missouri

E-mail address for J.M. Radley:

Investigation performed at Mercy Medical Center, Saint Louis, Missouri

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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