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Results of closed subtalar dislocations

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MUSCULOSKELETAL SURGERY Aims and scope Submit manuscript

Abstract

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. Thirteen patients were selected for this study. There were 9 patients with a medial SD, 3 patients with a lateral dislocation and 1 patient with a posterior subtalar dislocation.

Results

The most frequent symptoms observed in our study included transient mild pain, swelling and decreased ankle ROM, which did not restrict patients’ daily activities. However, lower AOFAS scores were observed on patients with associate peritalar osseous injuries.

Conclusion

The results of the present study suggest that detecting and treating any associate peritalar fractures are the keys to a successful long-term outcome.

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References

  1. DeLee JC, Curtis R (1982) Subtalar dislocation of the foot. J Bone Joint Surg Am 64:433–437

    CAS  PubMed  Google Scholar 

  2. Broca P (1853) Mèmoire sur les luxations sous-astragaliennes. Mém Soc Chir 3:241

    Google Scholar 

  3. Hoexum F, Heetveld MJ (2014) Subtalar dislocation: two cases requiring surgery and a literature review of the last 25 years. Arch Orthop Trauma Surg 134:1237–1249

    Article  CAS  PubMed  Google Scholar 

  4. Smith H (1937) Subastragalar dislocation: a report of seven cases. J Bone Joint Surg Am 19:373–380

    Google Scholar 

  5. Leitner B (1954) Obstacles to reduction in subtalar dislocations. J Bone Joint Surg Am 36:299–306

    CAS  PubMed  Google Scholar 

  6. Inokuchi S, Hashimoto T, Usami N, Ogawa K (1996) Subtalar dislocation of the foot. Foot 6:168–174

    Article  Google Scholar 

  7. Inokuchi S, Hashimoto T, Usami N (1997) Posterior subtalar dislocation. J Trauma 42:310–313

    Article  CAS  PubMed  Google Scholar 

  8. Camarda L, Martorana U, D’Arienzo M (2009) Posterior subtalar dislocation. Orthopedics 32:530

    Article  PubMed  Google Scholar 

  9. Jerome JT, Varghese M, Sankaran B (2007) Anteromedial subtalar dislocation. J Foot Ankle Surg 46:52–54

    Article  PubMed  Google Scholar 

  10. Altman RD, Fries JF, Bloch DA et al (1987) Radiographic assessment of progression in osteoarthritis. Arthritis Rheum 30:1214–1225

    Article  CAS  PubMed  Google Scholar 

  11. Kitaoka HB, Alexander IJ, Adelaar RS et al (1994) Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int 15:349–353

    Article  CAS  PubMed  Google Scholar 

  12. De Palma L, Santucci A, Marinelli M, Borgogno E, Catalani A (2008) Clinical outcome of closed isolated subtalar dislocations. Arch Orthop Trauma Surg 128:593–598

    Article  PubMed  Google Scholar 

  13. Jungbluth P, Wild M, Hakimi M, Gehrmann S, Djurisic M, Windolf J et al (2010) Isolated subtalar dislocation. J Bone Joint Surg Am 92:890–894

    Article  PubMed  Google Scholar 

  14. Merianos P, Papagiannakos K, Hatzis A, Tsafantakis E (1988) Peritalar dislocation: a follow-up report of 21 cases. Injury 19:439–442

    Article  CAS  PubMed  Google Scholar 

  15. Bibbo C, Anderson RB, Davis WH (2003) Injury characteristics and the clinical outcome of subtalar dislocations: a clinical and radiographic analysis of 25 cases. Foot Ankle Int 24:158–163

    PubMed  Google Scholar 

  16. Grantham SA (1964) Medial subtalar dislocation: five cases with a common etiology. J Trauma 4:845–849

    Article  CAS  PubMed  Google Scholar 

  17. Freund KG (1989) Subtalar dislocations: a review of the literature. J Foot Surg 28:429–432

    CAS  PubMed  Google Scholar 

  18. Zimmer TJ, Johnson KA (1989) Subtalar dislocations. Clin Orthop Relat Res 238:190–194

    PubMed  Google Scholar 

  19. Malgaigne JB (1856) Die Knochenbrüche und VerrenKungen. Stuttgart Germany Rieger 11:820

    Google Scholar 

  20. Bohay DR, Manoli A (1996) Occult fractures following subtalar joint injuries. Foot Ankle Int 17:164–169

    Article  CAS  PubMed  Google Scholar 

  21. Conesa X, Barro V, Barastegui D, Batalla L, Tomás J, Molero V (2011) Lateral subtalar dislocation associated with bimalleolar fracture: case report and literature review. J Foot Ankle Surg 50:612–615

    Article  PubMed  Google Scholar 

  22. Marcinko DE, Zenker CC (1991) Peritalar dislocation without fracture. J Foot Surg 30:489–493

    CAS  PubMed  Google Scholar 

  23. Edmunds I, Elliott D, Nade S (1991) Open subtalar dislocation. Aust N Z J Surg 61:681–686

    Article  CAS  PubMed  Google Scholar 

  24. Garofalo R, Moretti B, Ortolano V, Cariola P et al (2004) Peritalar dislocations: a retrospective study of 18 cases. J Foot Ankle Surg 43:166–172

    Article  PubMed  Google Scholar 

  25. Rivera F, Bertone C, De Martino M, Pietrobono D, Ghisellini F (2001) Pure dislocation of the ankle: three case reports and literature review. Clin Orthop Relat Res 382:179–184

    Article  PubMed  Google Scholar 

  26. Meinhard BP, Girgis I, Moriarty RV (1993) Irreducible talar dislocation with entrapment by the tibialis posterior and the flexor digitorum longus tendons. A case report. Clin Orthop Relat Res 286:222–224

    PubMed  Google Scholar 

  27. St Pierre RK, Velazco A, Fleming LL, Whitesides T (1982) Medial subtalar dislocation in an athlete. A case report. Am J Sports Med 10:240–244

    Article  CAS  PubMed  Google Scholar 

  28. Buckingham WW, LeFlore I (1973) Subtalar dislocation of the foot. J Trauma 13:753–765

    Article  PubMed  Google Scholar 

  29. Ruiz Valdivieso T, de Miguel Vielba JA, Hernandez Garcia C, Castrillo AV, Alvarez Posadas JI, Sanchez Martin MM (1996) Subtalar dislocation. A study of nineteen cases. Int Orthop 20:83–86

    Article  CAS  PubMed  Google Scholar 

  30. Lasanianos NG, Lyras DN, Mouzopoulos G, Tsutseos N, Garnavos C (2011) Early mobilization after uncomplicated medial subtalar dislocation provides successful functional results. J Orthop Traumatol 12:37–43

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to L. Camarda.

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All authors have disclosed all financial support for this work and other potential conflict of interests related to the publication of this manuscript.

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All patients provided the informed consent for the publication of the clinical history.

Ethical standards

The study was authorized by the local ethical committee and was performed in accordance with the ethical standards of the 1964 Declaration of Helsinki as revised in 2000.

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Camarda, L., Abruzzese, A., La Gattuta, A. et al. Results of closed subtalar dislocations. Musculoskelet Surg 100, 63–69 (2016). https://doi.org/10.1007/s12306-015-0380-1

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  • DOI: https://doi.org/10.1007/s12306-015-0380-1

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