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Peritalar dislocation

L Camarda, A Abruzzese, A La Gattuta, R Lentini, M D'Arienzo
BACKGROUND: The subtalar dislocation (SD) of the foot is an uncommon injury characterized by a simultaneous dislocation of talocalcaneal and talonavicular joints without involvement of the tibiotalar and calcaneocuboid joints. PURPOSES: The purpose of this study was to evaluate the clinical and radiological outcome in a consecutive series of close SD. METHODS: We retrospectively evaluated a case series of patients who presented a close SD...
April 2016: Musculoskeletal Surgery
Sean A Matuszak, Erin A Baker, Cory M Stewart, Paul T Fortin
UNLABELLED: Because of the complex anatomy of the foot, rarity of fractures of the foot, and subtle radiographic cues, foot injuries are commonly overlooked and mis/undiagnosed. This study seeks to investigate a patient population whose peritalar injuries, including fractures and dislocations, were missed on initial examination, in order to analyze factors of known, missed injuries and provide insight into methods for reducing the incidence of missed diagnoses. Surgical cases between January 1999 and May 2011 were queried and retrospectively reviewed to identify missed peritalar injuries...
October 2014: Foot & Ankle Specialist
F Hoexum, M J Heetveld
BACKGROUND: Subtalar dislocations are uncommon, representing ~1% of all traumatic dislocations. We present two cases of closed medial subtalar dislocation and a systematic literature review of the last 25 years. METHODS: We performed an Embase, Medline, Pubmed and Cochrane search of the literature written in English between January 1988 and December 2012. Keywords used were subtalar, peritalar, subastragalar, luxatio pedis sub talo, dislocation and dislocations...
September 2014: Archives of Orthopaedic and Trauma Surgery
M Ramanoudjame, P Loriaut, R Seringe, C Glorion, P Wicart
In this study we evaluated the results of midtarsal release and open reduction for the treatment of children with convex congenital foot (CCF) (vertical talus) and compared them with the published results of peritalar release. Between 1977 and 2009, a total of 22 children (31 feet) underwent this procedure. In 15 children (48%) the CCF was isolated and in the remainder it was not (seven with arthrogryposis, two with spinal dysraphism, one with a polymalformative syndrome and six with an undefined neurological disorder)...
June 2014: Bone & Joint Journal
Fabrice Colin, Lukas Zwicky, Alexej Barg, Beat Hintermann
BACKGROUND: An unstable valgus ankle with an incompetent medial ligament complex is still treated by many surgeons with isolated tibiotalar (TT) arthrodesis. To date, it is unknown whether rigid fixation of the talus within the ankle mortise sufficiently corrects and stabilizes the hindfoot complex. The purpose of this study was to critically analyze patients with this problem and to assess the underlying causes for their acquired peritalar instability. METHODS: This series included 4 male patients (ages 55, 70, 72, and 79 years)...
December 2013: Foot & Ankle International
L Kopp, P Obruba, J Riegl, P Meluzinová, K Edelmann
PURPOSE OF THE STUDY: The aim of this prospective study was to present injury characteristics and to evaluate therapeutic procedures and midterm functional and radiographic results of the surgical management of talus fractures. MATERIAL AND METHODS: In the period from January 1, 2004, to December 31, 2009, a total of 53 patients with 56 talar bone fractures or peritalar dislocations were treated surgically. The prospective study included 39 patients with 42 fractures of the talar neck and body; of these, 31 men had 34 fractures (79...
2013: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Sarper Gursu, Vedat Sahin, Bilal Demir, Timur Yildirim
Total talar dislocation, ie, disruption of the talus from the calcaneus, navicula, and tibia, is a rare and severe injury. We present a case of closed peritalar dislocation without any accompanying fractures and, thus, discuss the conflicts encountered in this rare injury. A 25-year-old male patient presented with severe pain, swelling, and deformity in his right ankle within 30 minutes of a fall from a height. There were no wounds around the ankle. Radiographs revealed that the talus was disrupted from the calcaneus, navicula, and tibia moving in the anterolateral direction...
January 2013: Journal of the American Podiatric Medical Association
Rajesh Dulani, Sandeep Shrivastava, Sameer Dwidmuthe, Ravi Purohit
Major fractures and dislocation of the talus and peritalar joint are uncommon. We present here a very rare case of injury with delayed presentation of closed total talus dislocation with fractured medial malleolus and posterior talar tubercle fracture. This report analyzes previous reports in the literature and the proposed treatment.
May 2012: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Stefan Rammelt
Secondary anatomical reconstruction of malunions or nonunions after talar fractures or fracture-dislocations with preservation of all three joints aims at maximal functional rehabilitation. A corrective osteotmy or revision of a pseudoarthrosis with axial realignment and internal fixation was carried out in 22 patients (aged 15 to 50) at a mean of 9 (range, 1.5 to 45) months after having sustained a fracture of the talar head, neck or body. 20 patients were followed for a mean of 4.8 (range, 1.5 to 14) years after reconstruction...
April 2012: Foot & Ankle International
Joseph X Kou, Paul T Fortin
Because of the effect on hindfoot kinematics, missed or delayed diagnosis of peritalar injuries often results in impairment. The seemingly innocuous nature of these injuries, subtle radiographic findings, and low incidence limit familiarity, thereby increasing the likelihood of misdiagnosis. Because of delay in diagnosis, salvage arthrodesis may be necessary to restore function to the extremity. Talar head fracture, talar process fracture, subtalar fracture-dislocation, transverse tarsal joint fracture, and transverse tarsal ligamentous disruption with instability are recurrently misdiagnosed...
December 2009: Journal of the American Academy of Orthopaedic Surgeons
L C Simon, A P Schulz, M Faschingbauer, M Morlock, C Jürgens
Subtalar dislocation is considered a severe injury but occurs rarely and studies generally refer to relatively small patient collectives. We investigated the functional outcome in 22 cases to determine the long-term prognosis. Since associated foot injury is common, we compared the outcome for 12 cases of isolated subtalar luxation with 10 cases of collateral fractures of the adjacent bones of the hind foot and Talus. 19 cases of complex, partially open injuries after high energy trauma have got excluded because of the apparently poor long-term results...
March 2008: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
John Harris, Lanie Huffman, Michael Suk
Peritalar dislocation is a term that has been described as an injury involving a simultaneous dislocation to both the subtalar and talonavicular joints without a fracture of talar neck or tibiotalar disruption. It often results from high-energy trauma but may also result from sports injuries. It occurs most frequently with a medial dislocation and less frequently with a lateral, anterior, or posterior dislocation. The treatment for most peritalar dislocations is closed reduction, although surgical intervention may be a requirement in cases where reduction is unobtainable...
January 2008: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
P Kumar, S Bajracharya, S Pandey
We report a medial peritalar dislocation, which was treated with closed reduction and cast for 3 weeks. At follow up 12 months later, there was normal range of motion and mild pain after prolonged walking.
July 2006: JNMA; Journal of the Nepal Medical Association
John S Maris, Gerassimos Theodoratos, Athanassios Papanikolaou
Total dislocation of the talus is a rare and severe injury. We report a case of an open total anterolateral dislocation of the left talus with simultaneous contralateral open peritalar dislocation. The former injury was managed with a primary talectomy because of severe contamination and blood supply deprivation. Thirteen years later, the patient complains of mild symptoms on the talectomy side. In contrast, the patient has more serious clinical problems (panarthritis) on the side of the peritalar dislocation...
March 2006: Journal of Orthopaedic Trauma
Richard Wagner, Thomas R Blattert, Arnulf Weckbach
From 1987-2003, 36 patients were treated for talar dislocation, 27 patients for subtalar, six for total talar, and three patients for peritalar dislocation. Luxatio pedis sub talo: We found 19 medial closed, seven lateral closed and one third degree open subtalar dislocations. Our therapeutic concept provides for immediate reduction, which is possible by closed procedure for the majority of medial dislocations. If there is a tendency to redislocation, we perform talonavicular K-wire transfixation. In the case of irreducibility, open reduction via lateral approach is the rule...
September 2004: Injury
Raffaele Garofalo, Biagio Moretti, Vito Ortolano, Pasquale Cariola, Giuseppe Solarino, Michael Wettstein, Elyazid Mouhsine
The purpose of this study is to retrospectively evaluate 18 consecutive cases of peritalar dislocations referred to our department during a period of 25 years and to delineate the factors influencing long-term prognosis. There were 13 (73%) medial and 5 (27%) lateral dislocations. Six patients (33%) suffered an open injury, including 2 of 13 (15%) medial and 4 of 5 (80%) lateral dislocations. Associated fractures involving the hindfoot or forefoot were noted in 7 feet, including 3 of 5 lateral dislocation cases...
May 2004: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
R Maes, C Averous, G Copin
The incidence of the peritalar dislocations has been estimated to be approximately 1% of all dislocations. If they are missed, the consequences are serious and lead to an important surgery of the hindfoot. Lateral dislocation is most rare than medial dislocation. The diagnosis of this lesion often requires X-rays of the foot. The CT-scan allows to confirm the diagnosis and to appreciate the associated intra-articular fracture. The reduction must be realized in urgency under anaesthesia. If the orthopaedic reduction is impossible, the surgery allows to obtain an anatomical reduction with the removal of obstacles and the fixation of the associated intra-articular fractures...
December 2003: Revue Médicale de Bruxelles
No abstract text is available yet for this article.
January 1961: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Ozcan Pehlivan, Ibrahim Akmaz, Can Solakoglu, Osman Rodop
In this paper, a case of closed medial subtalar dislocation and accompanying talar head fracture in a 22-year-old man which occurred while walking on a downhill road is reported. Closed reduction under general anesthesia was unsuccessful. The obstacle for closed reduction was determined at surgery for open reduction and internal fixation as buttonholing of the talar head through the extensor retinaculum. At the 26-month follow-up, he was pain-free in his daily activities.
December 2002: Archives of Orthopaedic and Trauma Surgery
L Besch, J Drost, H J Egbers
METHODS: Between 1980 and 1996 we treated 23 patients for dislocated fractures of the talus. The injury was caused by a car accident in 61% and a high fall in 22%. Five patients had open wounds (22%), two developed compartment syndrome of the foot (9%) at an early stage, and 11 patients had multiple injuries. We used the classifications of Hawkins and Marti/Weber. All fractures were surgically treated by fixation with screw osteosynthesis, percutaneous wire transfixation, and/or external fixation...
July 2002: Der Unfallchirurg
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