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Fig. 3. —24-year-old man who fell and sustained eversion injury of
ankle with displaced vertical talar dome fracture. Anteroposterior radiograph
obtained 6 weeks after open reduction and internal fixation shows transverse
fracture of medial malleolus transfixed with cancellous screw. Note oblique
distal fibular fracture with plate-and-screw fixation. Note impaction fracture
of lateral tibial plafond and lateral talar dome. Vertical fracture of dome of
talus is transfixed with cancellous screw. Note partial Hawkins sign
(arrowheads) on medial and ischemic changes of talus on lateral talar
dome with osteochondral injury of tibial plafond and talar dome on same side.
Note mild osseous resorption around screw tip.
