A case of closed isolated medial subtalar dislocation
Keywords:
closed dislocation, subtalar dislocation, reduction manoeuvre.Abstract
Introduction: Closed isolated subtalar dislocations are very rare and major cause of subtalar dislocation remains to be road traffic accidents.
Objective: Identify isolated medial subtalar closed dislocations and their forms a management.
Presentation of case: 22 year old male sustained road traffic accident following which he had deformed foot with inability to bear weight. On evaluation he was found to have medial subtalar dislocation reduced with manual traction. One year follow up showed, no residual deformity or pain and had very good functional outcome.
Conclusions: It is of great importance to identify the difference between medial subluxation or dislocation and medial swivel injury which have different mechanisms as well as different reduction maneuvers.
Downloads
References
Tzimas V, Panagiotopoulos V, Konidaris K, Georgoulas P. Closed isolated subtalar dislocation: a rare clinical entity with a combined rehabilitation approach. Trauma Case Rep. 2020;30:100361. DOI: https://doi.org/10.1016/j.tcr.2020.100361
Lugani G, Rigoni M, Puddu L, Santandrea A, Perusi F, Mercurio D, et al. Subtalar dislocation: a narrative review. Musculoskelet Surg. 2022;106(4):337-44. DOI: https://doi.org/10.1007/s12306-022-00746-x
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(3):166-72. DOI: https://doi.org/10.1053/j.jfas.2004.03.008
Sharma S, Patel S, Dhillon MS. Subtalar dislocations. J Am Acad Orthop Surg Glob Res Rev. 2021;5(12). DOI: https://doi.org/10.5435/jaaosglobal-d-21-00295
Khalil KT, Boushnak MO, Moussa MK, Jafar SP, Akiki A. Calcaneal fracture with a concomitant unstable subtalar dislocation: A case report. Int J Surg Case Rep. 2021;81:105778. DOI: https://doi.org/10.1016/j.ijscr.2021.105778
Wagner R, Blattert TR, Weckbach A. Talar dislocations. Injury. 2004;35supl2:SB36-45. DOI: https://doi.org/10.1016/j.injury.2004.07.010
Waldrop J, Ebraheim NA, Shapiro P, Jackson WT. Anatomical considerations of posterior tibialis tendon entrapment in irreducible lateral subtalar dislocation. Foot Ankle. 1992;13(8):458-61. DOI: https://doi.org/10.1177/107110079201300805
Datt NS, Rao AS, Rao DV. Medial swivel dislocation of the talonavicular joint. Ind J Orthop. 2009;43(1):87-9. DOI: https://doi.org/10.4103/0019-5413.45329
Polat B, Aydın D, Polat AE, Gürpınar T, Erler K. Medial swivel dislocation of the talonavicular joint with associated cuboid fracture. J Am Podiatr Med Assoc. 2019;109(4):308-11. DOI: https://doi.org/10.7547/17-191
Kumar A, Gaba S, Digge VK, Gautam D. Neglected medial swivel talonavicular dislocation treated with arthrodesis: A case report and literature review. J Clin Orthop Trauma. 2020;11(3):474-8. DOI: https://doi.org/10.1016/j.jcot.2018.12.011
Wang HY, Wang BB, Huang M, Wu XT. Treatment of closed subtalar joint dislocation: A case report and literature review. Chin J Traumatol. 2020;23(6):367-71. DOI: https://doi.org/10.1016/j.cjtee.2020.08.008