CME ArticleFracture of the Posteromedial Tubercle of the Talus: Surgical Approach With Case ExamplesSteffensmeier, Andrew M. MD*; Matar, Robert MD*; Chung, David BA†; Dixon, Tonya MD‡; Laughlin, Richard MD‡Author Information *Resident †Medical student ‡Attending/Faculty, Orthopaedic Surgery Department, University of Cincinnati, Cincinnati, OH Disclosure Statement: All authors, faculty, and staff in a position to control the content of this CME activity have disclosed that they have no financial relationships with, or financial interests in, any commercial organizations relevant to this educational activity. Address correspondence and reprint requests to Andrew M. Steffensmeier, MD, University of Cincinnati Orthopaedic Surgery Department, 231 Albert Sabin Way, Cincinnati, OH 45367-0212. E-mail: [email protected]. INSTRUCTIONS FOR OBTAINING AMA PRA CATEGORY 1 CREDITTM Techniques in Foot & Ankle Surgery includes CME-certiﬁed content that is designed to meet the educational needs of its readers. This activity is available for credit through August 31, 2023. Earn CME credit by completing a quiz about this article. You may read the article here, on the TFAS website, or in the TFAS iPad app, and then complete the quiz, answering at least 80 percent of the questions correctly to earn CME credit. The cost of the CME exam is $10. The payment covers processing and certiﬁcate fees. If you wish to submit the test by mail, send the completed quiz with a check or money order for the $10.00 processing fee to the Lippincott CME Institute, Inc., Wolters Kluwer Health, Two Commerce Square, 2001 Market Street, 3rd Floor, Philadelphia, PA 19103. Only the ﬁrst entry will be considered for credit, and must be postmarked by the expiration date. Answer sheets will be graded and certiﬁcates will be mailed to each participant within 6 to 8 weeks of participation. Need CME STAT? Visit http://cme.lww.com for immediate results, other CME activities, and your personalized CME planner tool. Accreditation Statement Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Credit Designation Statement Lippincott Continuing Medical Education Institute, Inc., designates this journal-based CME activity for a maximum of 1 (one) AMA PRA Category 1 CreditTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Techniques in Foot & Ankle Surgery: September 2021 - Volume 20 - Issue 3 - p 175-181 doi: 10.1097/BTF.0000000000000328 Buy Metrics Abstract Ten to 21% of talus fractures involve the posteromedial tubercle. A search query of the institutional database was performed for all adult patients that sustained talar fractures over an 8-year period. Fifteen of these patients had isolated fractures of the posteromedial tubercle. Seventy-three percent of the patients had an associated subtalar dislocation; in all of these, the fracture of the posteromedial tubercle was comminuted. Plain radiographs have been shown to lack sensitivity in detecting posterior process fractures, which includes posteromedial and posterolateral tubercles. In this group, 86% had initial plain radiographs that missed the fracture. This paper reviews the posteromedial tubercle fractures and fracture patterns to illustrate surgical strategies and approaches for open reduction and internal fixation. Exposures are described for access to the posteromedial tubercle and strategies for distraction and reduction are described. Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.