Cedell's Fracture of the Talus Managed with Herbert Screw Fixation through Posteromedial Approach - A Case Report.

INTRODUCTION

Cedell's fracture is an uncommon avulsion of the posteromedial process of the talus that may appear normal on radiographs. Early identification and anatomical fixation are essential to prevent long-term dysfunction.

CASE REPORT: AA 35-year-old male resident doctor sustained a twisting ankle injury after a fall from stairs. Radiographs were inconclusive, but computed tomography (CT) revealed a displaced posteromedial process (Cedell's) fracture of the talus. The patient underwent open reduction and internal fixation through a posteromedial approach using two 3.0 mm Herbert screws. Postoperatively, the limb was immobilized in a below-knee slab for 2 weeks, followed by a below-knee cast for an additional 4 weeks. The cast was removed at 6 weeks. Gradual mobilization and partial weight-bearing were initiated, progressing to full weight-bearing by 8 weeks.

RESULTS

At 1 year, radiographs confirmed fracture union with full, pain-free ankle and subtalar motion and return to normal activity.

CONCLUSION

Cedell's fracture should be suspected in patients with posteromedial ankle pain after trauma, even with normal radiographs. CT imaging is crucial for diagnosis, and early fixation through a posteromedial approach with Herbert screws provides stable fixation and excellent functional recovery.