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Wheeless' Textbook of Orthopaedics

Blood Supply to Talus



- Discussion:
    - body of talus is furnished w/ blood vessels from inferior talar surface in sinus tarsi and from talar neck;
    - non displaced fractures of talar neck disrupt intraosseous branches of tarsal sinus and tarsal canal,
            but major vascular sling remains intact;
    - w/ displaced fractures of talar neck, branches from dorsalis pedis artery to talar neck, artery to tarsal canal
            & artery to tarsal sinus (major arterial supply to talus) are ruptured;
    - dorsalis pedis artery:
            - most blood supplied to the head and neck of the talus arises from the dorsalis pedis artery;
            - anastomosis within sinus tarsi & tarsal canal form major blood supply to the talar head;
    - artery of the sinus tarsi:
          - the sinus tarsi and sinus canal anastomosis lies beneath the talar neck;
          - peroneal artery
              - from peroneal artery comes branches to posterior process & branch to form artery of sinus tarsi;
          - dorsalis pedis artery
              - supplies branches to dorsal talar neck & branch to form artery of sinus tarsi;
    - artery of sinus canal:
              - branch of posterior tibial forms anastomotic sling inferior to talus from which branches arise to enter talar neck;
              - deltoid branches usually arise from the artery of the tarsal canal & supply the medial third of the body;
              - main artery supplying blood to the body of the talus is the artery of the tarsal canal




The extra-osseous and intra-ossoeus blood supply of the talus.
    RA Haliburton et al.   JBJS Vol 40-A. Oct 1958.   p 115-1120.

Blood supply of the talus.
    PJ Kelly. CORR. Vol 30. 1963. p 37-44.

The arterial anatomy of the talus.
    Gelberman RH, Mortensen WW: Foot Ankle 4:64, 1983

Blood supply to the talus.
    Kelly PJ, Sullivan CR: Clin Orthop 30:37, 1963











Original Text by Clifford R. Wheeless, III, MD.