Classification Description Notes
Type 1 Nondisplaced talar neck AVN Risk 0-15%
Type2 Displaced neck fracture with subtalar dislocation or subluxation AVN Risk 20-50%
Type 3 Displaced neck fracture with dislocation/subluxation of both tibiotalar and subtalar joints AVN Risk 100%
Type 4 Displaced neck fracture with dislocation/subluxation talonavicular, tibiotalar and subtalar joints AVN Risk 100%

 

References:

Melenevsky, Y., et al. (2015). “Talar Fractures and Dislocations: A Radiologist’s Guide to Timely Diagnosis and Classification.” Radiographics 35: 765 – 779.

Hawkins, L. G. (1970). “Fractures of the neck of the talus.” J Bone Joint Surg Am 52(5): 991-1002.

Canale, S. T. and F. B. Kelly, Jr. (1978). “Fractures of the neck of the talus. Long-term evaluation of seventy-one cases.” J Bone Joint Surg Am 60(2): 143-156.