Treatment of closed subtalar joint dislocation: A case report and literature review.
10.1016/j.cjtee.2020.08.008
- VernacularTitle:Treatment of closed subtalar joint dislocation: A case report and literature review
- Author:
Hao-Yu WANG
1
,
2
;
Bei-Bei WANG
3
;
Ming HUANG
4
;
Xiao-Tao WU
5
Author Information
1. Department of Orthopaedics, Bengbu Third People's Hospital, Bengbu 233004, Anhui Province, China
2. Southeast University, Nanjing Medical University, Nanjing 210029, China. Electronic address: orthopaedics_WHY@163.com.
3. Department of Gynecologic Oncology, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, Anhui Province, China.
4. Department of Orthopaedics, Bengbu Third People's Hospital, Bengbu 233004, Anhui Province, China.
5. Department of Orthopaedics, The Affiliated Zhongda Hospital Southeast University of Nanjing Medical University, Nanjing 210029, China.
- Publication Type:Review
- Keywords:
Ankle injuries;
Dislocation;
Subtalar joint;
Trauma
- MeSH:
Adult;
Closed Fracture Reduction/methods*;
Follow-Up Studies;
Football/injuries*;
Humans;
Joint Dislocations/surgery*;
Male;
Subtalar Joint/injuries*;
Tomography, X-Ray Computed;
Treatment Outcome
- From:
Chinese Journal of Traumatology
2020;23(6):367-371
- CountryChina
- Language:English
-
Abstract:
Subtalar dislocation is defined as a separation of the talocalcaneal and talonavicular articulations, commonly caused by high-energy mechanisms, which include falls from height, motor vehicle crashes, and twisting leg injuries. The dislocations are divided into medial, lateral, anterior, and posterior types on the basis of the direction in which the distal part of the foot has shifted in relation to the talus. The most common type is medial dislocation resulted from inversion injury. Subtalar dislocation may accompany with other fractures. Physical examination must be performed carefully to assess for neurovascular compromise. Most of the subtalar dislocations can be treated with closed reduction under sedation. If this is not possible, open reduction without further delay should be conducted. After primary treatment, X-ray and computed tomography scan should be performed to evaluate the alignment and the fractures. We report a 37-year-old male patient sustained a subtalar dislocation without any bony injury when he was playing football. The patient was successfully treated by closed reduction, and a good alignment was observed at the last follow-up. The pathogenesis and treatment method of this case were analyzed, and the related literature were reviewed, which provided a reference for future clinical treatment.
