Selina Shah, Joseph Luftman, Daniel V. Vigil
Talar stress injury was diagnosed in a 16-year-old ballerina who frequently danced en pointe, a position in which the subtalar joint is locked with the heel and forefoot in varus position. After completing a 6-week non-weightbearing period as prescribed, the patient wore a removable walker boot for 2 weeks. During this period, she underwent non-weightbearing exercise and symptoms resolved. She avoided prohibited movements for 2 weeks; during the next 6 months, she gradually returned to full dance activity. When last seen at follow-up 4 months later, the patient remained pain-free. During en point dancing, the force of full weightbearing is probably transmitted through the talus and thus predisposes it to stress fracture from repetitive loading.