Irreducible Isolated Subtalar Dislocation: A Case Report (original) (raw)

Subtalar Dislocations: a Report of Two Cases

Turkish Journal of Medical Sciences, 2003

Subtalar dislocations are not common and account for approximately 1% of all dislocations (1-5). This kind of dislocation is named according to the direction of the foot in relationship to the talus. Medial dislocation is the commonest type (85%) followed by lateral dislocation (15%). Anterior and posterior dislocations can also occur, but in a very small percentage of cases (2,3,6,7). In any types the talonavicular and talocalcaneal joints are involved simultaneously while tibiotalar and calcaneocuboid articulations remain intact (2,5,7). Associated osteochondral fractures are not uncommon (1,5,8).

Pure internal subtalar dislocation: review of 5 cases

International Journal of Research in Orthopaedics

Pure subtalar dislocation is a rare injury. It accounts for 1% of dislocations seen in trauma. It involves a loss of anatomical relationship between the talus, calcaneus and scaphoid, but the tibio-peroneal-astragalic congruence is maintained. The aim of this study was to find an explanation between the occurrence of subtalar dislocation in its medial variety and the Jakarta motorbike crash. Five male patients who had fallen from a Jakarta motorbike were included. Two cases of open dislocation were reported. They received wound trimming under spinal anaesthesia. We proceeded to reduce the dislocation using a boot puller maneuver and restraint with a plaster boot. The postoperative course was simple with wound healing. The casting lasted 6 weeks but was extended to 8 weeks for open dislocations. After removal of the cast, rehabilitation was prescribed for all patients. This consisted mainly of proprioception in order to restore the functions of the ankle. At a mean follow-up of 25....

Posterior Subtalar Dislocation

The Journal of Trauma: Injury, Infection, and Critical Care, 1997

ubtalar dislocations are a rare form of dislocation and, according to Leitner, account for no more than 1% of all traumatic dislocations. 1 Posterior dislocations, in particular, are extremely rare, and as far as we were able to determine in our search of the literature, only seven cases recorded in detail have been reported (Table 1). 2-7 They amount to a mere 0.8% of all subtalar dislocations. In this paper, we report two cases of posterior dislocation of the subtalar joint and describe the pathomechanics, diagnosis, and treatment.

Lateral and open medial subtalar dislocation : Report of two uncommon cases by

Subtalar or peritalar dislocation is a rare injury and limited to a small number of reported cases. The proper and early diagnosis and judicious management is paramount to good functional outcome. The documentation of other associated injuries and respective management is also crucial. We present two cases describing each of the two variants i.e. medial and lateral subtalar dislocation. These cases add value to existing literature by strengthening the knowledge about early identification and appropriate management of such uncommon pattern of injuries.

Anteromedial subtalar dislocation

BMJ case reports, 2013

Subtalar dislocation is the simultaneous dislocation of the talocalcaneal and talonavicular joints of the foot, typically caused by falls from heights, twisting leg injuries and motor vehicle accidents. The dislocation can occur medially, lateral, anterior or posterior, but most commonly occurs from inversion injury producing a medial dislocation. These dislocations may be accompanied by fractures. Careful physical examination must be performed to assess for neurovascular compromise. Most subtalar dislocations can be treated with closed reduction under sedation. However, if the dislocation is associated with an open fracture it may require reduction in the operating room. Treatment should include postreduction plain x-ray and CT scan to evaluate for proper alignment and for fractures. This article presents a case of medial subtalar dislocation in a 23-year-old football player.

Subtalar Dislocation: Long-Term Follow-Up and CT-Morphology

Open Journal of Orthopedics, 2015

Introduction: Although rare, subtalar dislocations are severe injuries with long-term alterations such as clinical dysfunction or painful posttraumatic arthritis. The objective of this study was to investigate long-term morphological changes of subtalar dislocations and to correlate them to clinical function. Based on the conclusions, suggestions for therapy guidelines were made in order to improve the functional outcome. Methods: Twenty-two patients (12 with a medial, 9 with a lateral and 1 with an anterior dislocation) were reexamined with an average follow-up time of 10 years. Radiological results of a computer tomography examination of the hindfoot were related to the clinical outcome, and both were discussed in the context of further parameters, such as additional injuries, time until reduction, and post-reduction treatment. Results: Additional injuries were found to affect the clinical outcome and/or the radiological changes. Predictive factors for limited range of motion were severe skin trauma and traumatic brain injuries. Factors that predicted both poor clinical function and clear signs of arthritis included complex talus, ankle and calcaneus fractures, long time until reduction, and infection. Conclusions: In many cases, radiological results can be correlated to clinical outcomes. However, the modulating effects of additional injuries should be considered when planning therapy. In cases with additional fractures of the talus and the calcaneus, suffering pain may be reduced by an early arthrodesis of the talo-calcanear joint. In cases involving a long stay on an intensive care unit, early functional treatment by passive motion should be discussed in special cases to improve the clinical outcome.