CorpusHuman Anatomy

Talus

Talus

Also known as: astragalus, ankle bone

The second largest tarsal bone, which transmits the whole weight of the body from the tibia to the foot. It has no muscle attachments and is about 60% covered by articular cartilage.

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Overview

The talus has a head, neck and body. The superior surface of the body, the trochlea, is a pulley-shaped articular surface gripped by the malleoli in the ankle mortise; it is wider anteriorly than posteriorly, so the ankle is most stable in dorsiflexion (wide part wedged in the mortise) and less stable in plantarflexion — when most sprains occur. The body also bears medial and lateral malleolar facets and, posteriorly, the posterior process with medial and lateral tubercles separated by a groove for the flexor hallucis longus tendon.

The inferior surface has three facets (posterior, middle, anterior) for the calcaneus at the subtalar joint, separated by the sulcus tali, which with the calcaneal sulcus forms the sinus tarsi and tarsal canal (interosseous talocalcaneal ligament). The rounded head projects forward and medially to articulate with the navicular and the plantar spring ligament — forming the keystone of the medial longitudinal arch.

Because no muscles attach to it and most of its surface is articular, the talus has a precarious retrograde blood supply entering mainly through the neck and the sinus tarsi (branches of the posterior tibial, dorsalis pedis and fibular arteries).

Location

Between the tibia/fibula above, the calcaneus below and the navicular in front.

Parts & subdivisions

  1. Articulates with the tibia and malleoli; wider anteriorly.
  2. Neck
    Main entry point of blood supply; fracture site.
  3. Articulates with the navicular and spring ligament.
  4. Posterior, middle and anterior facets for the calcaneus (subtalar joint).
  5. Posterior process
    Lateral tubercle may be a separate os trigonum; groove for flexor hallucis longus.

Anatomy

Arterial supply

Artery of the tarsal canal (posterior tibial), artery of the sinus tarsi (dorsalis pedis/fibular), deltoid branches; enters mainly via the neck — retrograde to the body.

Articulations

Tibia and fibula (ankle), calcaneus (subtalar), navicular (talonavicular).

Ossification

Single centre ≈7 months fetal (present at birth). The lateral tubercle of the posterior process has a separate centre; if un-united it forms an os trigonum (≈7–14%).

Function

  • Transmits the body weight from the leg to the foot
  • Forms the lower component of the ankle joint and upper component of the subtalar joint
  • Keystone of the medial longitudinal arch

Clinical significance

Talar neck fracture and avascular necrosis

Forced dorsiflexion (e.g. "aviator’s astragalus") fractures the neck; with displacement the retrograde blood supply to the body is disrupted and avascular necrosis is common (Hawkins classification; a subchondral lucency — the Hawkins sign — at 6–8 weeks indicates preserved vascularity).

Os trigonum syndrome

Posterior ankle impingement in ballet dancers and footballers when the os trigonum is compressed in plantarflexion.

Compiled from standard anatomy and physiology references — see the Skeletal System sources. For education only; not medical advice.