Engelmann EWM, Wijers O, Posthuma JJ, et al. - Fractures of the posterior process of the talus are rarely encountered and are frequently overlooked, possibly resulting in pseudo-arthrosis and chronic pain. Researchers sought to gain more information concerning the diagnosis, treatment and outcome of fractures of the posterior process of the talus (PPTF) via performing a systematic review of the current literature. Searching the electronic databases of PubMed, EMbase, Google Scholar and Cochrane library, they identified seven original studies with a total of 66 patients for inclusion in this study. A (sub)talar joint dislocation was evident at presentation in more than a third of patients (n = 25, 37.9%) and there were 51.5% with sustained associated ipsilateral lower extremity fractures (n = 34). In 36.4% of patients (n = 24), delayed diagnosis occurred. Based on outcomes, they emphasize early recognition and timely treatment to attain pre-injury functional outcome and reduce morbidity. The patients with non-operative treatment had significantly higher complication rate and lower return to the previous level of functionality. This finding led researchers to recommend undertaking ORIF if there is (even minimal) displacement, articular involvement or if the fracture extends into the talus body.