This report demonstrates a case of a severe talar neck fracture. Although rare, talar neck fractures have a high potential for morbidity. Typically caused by a high energy injury, this patient’s mechanism of injury was relatively minor, and presentation was not immediately concerning for such a severe fracture. Initial x-rays provided a gross demonstration of the fracture, but a CT scan was obtained to better evaluate the bone fragments and associated tarsal dislocations. The patient was treated symptomatically and splinted in the emergency department, underwent open reduction and internal fixation the next morning, and was discharged a day later. The patient’s severe injury was identified and received definitive treatment to help avoid potentially devastating complications.TopicsOrthopedics, trauma, talar neck fracture.