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Subtalar dislocation

Ewout S Veltman, Ernst Ja Steller, Philippe Wittich, Jort Keizer
A case of complicated lateral 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. Complications include avascular necrosis of the talus, infection, posttraumatic osteoarthritis requiring arthrodesis and chronic subtalar instability. Negative prognostic factors include lateral and complicated dislocations, total talar extrusions, and associated fractures. A literature search was performed to identify studies describing outcome after lateral subtalar joint dislocation...
September 18, 2016: World Journal of Orthopedics
Abdellatif Benabbouha, Nacer Ibou
No abstract text is available yet for this article.
2016: Pan African Medical Journal
Andrew P Harris, Jose M Ramirez, Joey Johnson, Gregory R Waryasz
No abstract text is available yet for this article.
March 5, 2016: American Journal of Emergency Medicine
François Ruhlmann, Camille Poujardieu, Joel Vernois, Louis-Etienne Gayet
Isolated acute traumatic subtalar dislocations are quite rare. They correspond to talotarsal dislocation, including the talonavicular and talocalcaneal joints. The purpose of the present study was to evaluate the functional and radiologic outcomes of the treatment of acute traumatic isolated subtalar dislocations. The present retrospective study included 13 patients who had sustained isolated subtalar dislocations during a 10-year period. Of the 13 cases, 10 (76.9%) were medial dislocations and 3 (23.1%) were lateral dislocations...
March 2, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
S Rammelt, M Amlang, A K Sands, M Swords
The ideal treatment of displaced intra-articular calcaneal fractures is still controversially discussed. Because of the variable fracture patterns and the vulnerable soft tissue coverage an individual treatment concept is advisable. In order to minimize wound edge necrosis associated with extended lateral approaches, selected fractures may be treated percutaneously or in a less invasive manner while controlling joint reduction via a sinus tarsi approach. Fixation in these cases is achieved with screws, intramedullary locking nails or modified plates that are slid in subcutaneously...
March 2016: Der Unfallchirurg
R Singh, D Hiller, R Rees
No abstract text is available yet for this article.
April 2016: Annals of the Royal College of Surgeons of England
Siu Hung Kenneth Hui, Tun Hing Lui
Anterior subtalar dislocation is a very rare injury. We report a case of an 81-year-old woman who had her right foot injured during a motor vehicle accident. Radiographs showed anterior subtalar dislocation with comminuted fracture of the anterior calcaneal process. The dislocation was closely reduced and protected by a short leg cast. One year postinjury, the patient had only mild pain when walking on uneven ground. There was mild tenderness over the lateral heel. Subtalar motion was mildly painful. There was no pain with ankle motion...
2016: BMJ Case Reports
Yashwant Singh Tanwar, Satyaprakash Singh, Rajender Kumar Arya, Navneet Aujla, Ashish Mathur, Yatinder Kharbanda
UNLABELLED: Closed lateral subtalar dislocation is a very rare injury. We report a case of closed lateral subtalar dislocation with entrapment of flexor hallucis longus tendon producing a checkrein deformity. The patient was managed immediately with closed reduction under regional anesthesia and fixated with percutaneous Kirschner wires. Early mobilization and weightbearing was started and there were no complications till the last follow-up visit. LEVELS OF EVIDENCE: Therapeutic, Level IV: Case study...
October 2016: Foot & Ankle Specialist
R B Simpson, Darryl A Auston
Fractures of the talar neck with subtalar and tibiotalar joint dislocation (AO/OTA 81-B3) represent a treatment challenge for the orthopedic surgeon. The magnitude of deformity and complexity of the pathoanatomy adds to concerns for soft tissue embarrassment to convey an urgency of surgical intervention. Previous studies have described the several techniques for talar reduction, including medial malleolar osteotomy, posterior Schanz pin manipulation, or posteromedial incision to facilitate relocation at the time of definitive open treatment...
March 2016: Journal of Orthopaedic Trauma
Peter K Sculco, Lionel E Lazaro, Milton M Little, Marschall B Berkes, Stephen J Warner, David L Helfet, Dean G Lorich
INTRODUCTION: Ankle fractures are one of the most common fractures requiring surgical treatment. Ankle fracture-dislocations are significant injuries to the osseous and soft tissue envelope, but studies focused on the effect of dislocation on radiographic and functional outcomes are lacking. The objective of this study was to evaluate the effect of dislocations on postoperative outcomes in SER IV ankle fracture patients. MATERIALS AND METHODS: From 2004 through 2010, all operative SER IV ankle fractures treated by a single surgeon were enrolled in a prospective database...
January 2016: Archives of Orthopaedic and Trauma Surgery
Robert F Murphy, Manahil Naqvi, Patricia E Miller, Lanna Feldman, Benjamin J Shore
PURPOSE: Research on venous thromboembolism events (VTE), such as deep venous thrombosis (DVT) and pulmonary embolism (PE), in pediatric orthopaedic trauma patients is sparse. We describe the incidence in the USA of VTE associated with pediatric lower extremity orthopaedic trauma, and characterize injury patterns and VTE treatment methods. METHODS: The Pediatric Health Information System (PHIS) was queried from 2004 to 2013 using ICD-9 codes for lower extremity fractures (pelvis, femur, tibia, ankle, foot) and dislocations (hip, knee, ankle, subtalar) and VTE...
October 2015: Journal of Children's Orthopaedics
Anton R Boersma, Arvid V E Munzebrock
A 27-year old woman was admitted to the emergency room after her left ankle rolled inward during a volleyball game. On physical examination a bony prominence on the lateral side of the left foot was noticeable, without neurovascular injury. An X-ray (anterior-posterior view) showed a subtalar dislocation without associated fractures.
2015: Nederlands Tijdschrift Voor Geneeskunde
Soufiane Guelzim, Mustapha Mahfoud
No abstract text is available yet for this article.
2015: Pan African Medical Journal
J Mason DePasse, Amanda J Fantry, Raymond Y Hsu
Subtalar dislocations are uncommon injuries, and anterior subtalar dislocations are extremely rare. Only 7 cases have been reported in detail in the literature, but all were associated with substantial displacement immediately apparent on radiographs. We report a case of a subtle anterior subtalar dislocation that was missed on initial plain films but was subsequently treated successfully with closed reduction.
October 2015: American Journal of Emergency Medicine
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
Bassir Rida-Allah, Aitbenali Hicham, Mustapha Mahfoud, Ahmed Elbardouni, Mohamed Saleh Berrada, Moradh Elyaacoubi
No abstract text is available yet for this article.
July 2015: Journal of Emergencies, Trauma, and Shock
Chul Hyun Park, Kang Hyun Park
Fracture of the posterior process of the talus with concomitant subtalar dislocation is rare; thus, the mechanism of injury, appropriate treatment, and prognosis are unclear. We report the case of a 50-year-old male with a fracture of the posterior process of the talus with concomitant subtalar dislocation that was recognized early and successfully treated operatively.
January 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Alfonso Prada-Cañizares, Ismael Auñón-Martín, Jesús Vilá Y Rico, Juan Pretell-Mazzini
Subtalar dislocations were first described in 1811 as the simultaneous dislocation of the talo-calcaneal and talo-navicular joints without any tibio-talar or talar neck associated fractures. They were classified in 1853 as: medial, lateral, posterior and anterior based on the displacement of the foot in relationship to the talus. These are uncommon injuries, representing approximately 1 % of all traumatic injuries of the foot and 1-2 % of all dislocations, being associated with high energy trauma.Closed reduction of these dislocations should be performed as early as possible to avoid further damage to the skin and neurovascular structures...
May 2016: International Orthopaedics
Stefan Rammelt, Jens Goronzy
Subtalar dislocations make up 1-2% of all dislocations, about 75% of them being medial dislocations. Treatment consists of early reduction under adequate sedation. In cases of soft tissue interposition or locked dislocations, open reduction is warranted. More than 60% of subtalar dislocations are associated with additional fractures, therefore a postreduction CT is recommended. Complications include avascular necrosis of the talus, infection, posttraumatic arthritis, chronic subtalar instability, and complex regional pain syndrome with delayed reduction...
June 2015: Foot and Ankle Clinics
Essoh J B Sié, A Traoré, A K Sy, K Soumaro, Y Lambin
Open total talar dislocation is a rare but well known injury. Its management is controversial and fraught with complications such as infection, avascular necrosis, and post-traumatic osteoarthritis. We report the case of a woman sustaining a pure open talar dislocation reduced in the emergency room. Debridement was done three days after the injury in the operating room. There was no infection. One year after surgery she complained of occasional pain. Ambulation was normal. She wore regular shoes. The overall alignment of the ankle, hindfoot, and midfoot was normal...
September 2014: Journal of Clinical Orthopaedics and Trauma
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