Abstract
INTRODUCTION: Cedell's fracture is an uncommon avulsion of the posteromedial process of the talus that may appear normal on radiographs. Early identification and anatomical fixation are essential to prevent long-term dysfunction. CASE REPORT: AA 35-year-old male resident doctor sustained a twisting ankle injury after a fall from stairs. Radiographs were inconclusive, but computed tomography (CT) revealed a displaced posteromedial process (Cedell's) fracture of the talus. The patient underwent open reduction and internal fixation through a posteromedial approach using two 3.0 mm Herbert screws. Postoperatively, the limb was immobilized in a below-knee slab for 2 weeks, followed by a below-knee cast for an additional 4 weeks. The cast was removed at 6 weeks. Gradual mobilization and partial weight-bearing were initiated, progressing to full weight-bearing by 8 weeks. RESULTS: At 1 year, radiographs confirmed fracture union with full, pain-free ankle and subtalar motion and return to normal activity. CONCLUSION: Cedell's fracture should be suspected in patients with posteromedial ankle pain after trauma, even with normal radiographs. CT imaging is crucial for diagnosis, and early fixation through a posteromedial approach with Herbert screws provides stable fixation and excellent functional recovery.