The anatomy and biomechanics of the talus in its rela tionship with ankle and subtalar joints expose it to increased stresses and forces in the runner. Many injuries to the talus, such as stress fractures, antero lateral compression syndromes, osteochondral Stage I and II lesions, and posterior compartment fractures can be treated with consecutive methods initially. Surgical treatment is indicated if these problems become chronic or in the conditions of osteochondral Stage III and IV lesions, anterior impingement syndrome, or sympto matic or trigonum fractures.
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