He was walking down old stairs when one gave way causing him to fall and land on his heels. He states he has severe foot pain, but denies back pain. He did not hit his head or lose consciousness. Non tender to range of motion of bilateral upper extremities, right lower extremity and left hip and knee. Non tender to CTLS spine palpation.
Sensation is intact to sole and dorsum of foot throughout.
The image will appear in a new window in your web browser. Make sure you close the image window when you are done with it. AP and lateral LS spines are negative for fracture. Avascular necrosis of the talar body. Type IV has a significant chance of AVN of the head as well as the body.