Arthroscopic Excision of Bone Fragments in a Neglected Fracture of the Lateral Process of the Talus in a Junior Soccer Player  Hiroki Funasaki, M.D., Soki Kato, M.D., Hiroteru Hayashi, M.D., Keishi Marumo, M.D.  Arthroscopy Techniques  Volume 3, Issue 3, Pages e331-e334 (June 2014) DOI: 10.1016/j.eats.2014.01.014 Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 1 Anteroposterior and lateral radiographs of the right ankle joint taken during the initial visit (6 months after the injury with fracture of the lateral process of the talus during a soccer game) showing a fracture of the lateral process of the talus (black arrow) and an isolated bone fragment involving the talocalcaneal joint (white arrow). Arthroscopy Techniques 2014 3, e331-e334DOI: (10.1016/j.eats.2014.01.014) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 2 Coronal reconstructed computed tomography images confirm the bone fragment in the talocalcaneal joint and nonunited fracture of the lateral process of the talus involving both the talo-peroneal and subtalar joints. Arthroscopy Techniques 2014 3, e331-e334DOI: (10.1016/j.eats.2014.01.014) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 3 Arthroscopic examination of LPT and loose body (supine position, right ankle, viewed from anterolateral portal). (A) After the soft tissues around the talus were cleared, the lateral aspect of the talar process that presented as an osseous overgrowth and the articular aspect of the calcaneofibular ligament were visualized. (B) A loose body impinged between the talus and the calcaneus was well visualized. (C, calcaneus; CFL, calcaneofibular ligament; LB, loose body; LPT, lateral process of the talus.) Arthroscopy Techniques 2014 3, e331-e334DOI: (10.1016/j.eats.2014.01.014) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 4 Arthroscopic view of loose body after partial resection of LPT (supine position, right ankle, viewed from anterolateral portal). After partial resection of the LPT, a freely movable loose body was well visualized. (C, calcaneus; LB, loose body.) Arthroscopy Techniques 2014 3, e331-e334DOI: (10.1016/j.eats.2014.01.014) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 5 Coronal reconstructed computed tomography images taken 1 month after surgery with no bone fragments observed. Arthroscopy Techniques 2014 3, e331-e334DOI: (10.1016/j.eats.2014.01.014) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions