DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20192694

Closed medial subtalar dislocation: case report and review of the literature

Everisto A. Opondo

Abstract


A rare case of medial subtalar dislocation is presented and the literature concerning this injury is reviewed. Subtalar joint dislocations are rare and often the result of a high-energy trauma. These talar dislocations represent 1%-2% of all dislocations. A case of uncomplicated medial subtalar joint dislocation managed by closed reduction under anaesthesia with excellent functional outcome is presented. In cases of open subtalar joint dislocation immediate reduction, wound debridement and if necessary (external) stabilization is critical. Up to fifty percent of patients suffering complicated injury are at risk of developing complications such as avascular necrosis of the talus. Other long-term sequelae include osteochondral fracture and subtalar joint instability.

Keywords


Dislocation, Medial, Subtalar joint, Closed reduction

Full Text:

PDF

References


Giannoulis D, Papadopoulos DV, Lykissas MG, Koulouvaris P, Gkiatas I, Mavrodontidis A. Subtalar dislocation without associated fractures. Case report and review of literature. World J Orthop. 2015;6:374-9.

Kulambi V, Gaurav M. Lateral subtalar dislocation: A case report. Foot Ankle Online J. 2014;7(3):4.

Carvera TP. Subtalar dislocation Case report and literature review. Global J Med Res. 2016;16:1.

James D. Functional outcome after early mobilization in isolated subtalar dislocation. Case report and review of current evidence. J Orthop Traumatol Rehabil. 2017;9:50-2.

Hotouras A, Sandiford N, Rao S. Medial subtalar dislocation: A case report. Int J Orthop Surg. 2006;5:1-4.

Hoexum F, Heetveld MJ. Subtalar dislocation: two cases requiring surgery and a literature review of the last 25 years. Arch Orthop Trauma Surg. 2014;134:1237-49.

Simon LC, Schulz AP, Faschingbauer M, Morlock M, Jürgens C. “Basketball Foot”--long-time prognosis after peritalar dislocation. Sportverletz Sportschaden. 2008;22:31-7.

Wagner R, Blattert TR, Weckbach A. Talar dislocations. Injury. 2004;35(Suppl 2):SB36-SB45.

Waldrop J, Ebraheim NA, Shapiro P, Jackson WT. Anatomical considerations of posterior tibialis tendon entrapment in irreducible lateral subtalar dislocation. Foot Ankle. 1992;13:458-61.

Rammelt S, Goronzy J. Subtalar dislocations. Missed and associated injuries after subtalar dislocation: the role of CT. Foot Ankle Int. 2001;22:324-8.

Goldner JL, Poletti SC, Gates HS, Richardson WJ. Severe open subtalar dislocations. Long-term results. J Bone Joint Surg Am. 1995;77:1075-9.

Garofalo R, Moretti B, Ortolano V, Cariola P, Solarino G, Wettstein M, Mouhsine E. Peritalar dislocations: a retrospective study of 18 cases. J Foot Ankle Surg. 2004;43:166-72.

Karampinas PK, Kavroudakis E, Polyzois V, Vlamis J, Pneumaticos S. Open talar dislocations without associated fractures. Foot Ankle Surg. 2014;20:100-4.