Case report: irreducible medial subtalar dislocation with incarcerated anterior talar head fracture in a young patient

Yglesias, Benjamin; Andrews, Kyle; Hamilton, Ryan; Lea, Justin; Shah, Ronit; Ebraheim, Nabil A.

doi:10.1093/jscr/rjy168

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…High-energy mechanisms of trauma can lead to lateral subtalar dislocations often presenting with associated foot injuries, such as fractures of the ankle, talus, cuboid, cuneiforms, navicular, and metatarsals ( 12 ). Furthermore, presented a case of an irreducible medial subtalar dislocation following a motor vehicle accident with no associated fractures demonstrated on radiograph ( 13 ). Subtalar joint dislocations are frequently accompanied by fractures of the adjacent tarsal and metatarsal bones ( 14 ).…”

Section: Discussionmentioning

confidence: 99%

Isolated Subtalar Dislocations: Insights from a Case Study and Literature Review

Alzahid,

Alghamdi,

Alkhadra

et al. 2024

Med Arch

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Background: Isolated subtalar joint dislocations without associated fractures are rare in the medical literature. They occur when the talus bone remains in place while the calcaneus and navicular bones shift out of place. These dislocations account for about 15% of talus bone injuries and 1 to 2% of all joint dislocations. They are more common in young men following inversion trauma. Objective: This study aims to improve the understanding of diagnosis, treatment, and management of these rare injuries for better patient care. Case presentation: 17-year-old male patient with type 1 diabetes mellitus presented to the emergency department with severe ankle pain and swelling following an inversion injury, which rendered him unable to walk or stand. Despite his chronic condition, he was hemodynamically stable, with no neurovascular deficits but an apparent deformity in the left ankle. Treatment involved pain management with morphine, successful closed reduction under ketamine sedation, and immobilization. Follow-up radiographs and a CT scan revealed no fractures but indicated soft tissue edema, joint effusion, and subsequent osteopenia. At a three-month follow-up, the patient experienced ongoing pain and weight-bearing difficulties, diagnosed as complicated pain syndrome requiring further physiotherapy and rehabilitation. Conclusion: This case highlights the clinical challenges and complications in managing isolated subtalar joint dislocations, particularly in patients with systemic health issues, and contributes valuable insights to the sparse literature on this topic.

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Section: Discussionmentioning

confidence: 99%

Isolated Subtalar Dislocations: Insights from a Case Study and Literature Review

Alzahid,

Alghamdi,

Alkhadra

et al. 2024

Med Arch

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“…The talonavicular and talocalcaneal joints are involved simultaneously, while the tibiotalar and calcaneocuboid joints remain intact. 2,3,4 There is strong association between subtalar dislocation and high energy trauma, such as a fall from height or road traffic accidents. The mechanism of posterior dislocation is hyperplantarflexion of the foot.…”

Section: Discussionmentioning

confidence: 99%

Neglected Posterior Subtalar Dislocation: A Case Report and Operative Technique

Priherdadi

Primadhi

2021

mkb

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Posterior subtalar dislocation is an exceedingly rare entity. Early anatomic reduction, initially by closed means, is crucial. Failure to recognize this condition or any occurrence of neglect will complicate the management and worsen the outcome. There are a handful of case reports on posterior subtalar dislocation and even less for neglected cases. This study reports a neglected subtalar dislocation in a 26-year-old male who worked as a driver and had experienced high-energy trauma due to car collision. This patient was managed by open reduction and pinning, and was followed up 2 months later with a good outcome. This technique was selected to be able to achieve functional motions without pain.

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“…Closed reduction of these dislocations should be performed as early as possible to avoid further damage to the skin and neurovascular structures. If this is not possible, then open reduction without further delay is recommended [3,13,14].…”

Section: Discussionmentioning

confidence: 99%

Our results in the treatment of tarsal dislocations

et al. 2020

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Introduction/Objective. Tarsal dislocations are rare injuries. Usually, they are caused by high energy trauma. Depending on the type of dislocation, surgical treatment or closed reduction is used. In this study, 13 patients are presented with the aim to analyze the type of feet dislocations, their treatment and outcome. Methods. Tarsal dislocation cases treated in the University Hospital in Foca were analyzed during the period from 2009 to 2016. All the cases were clinically and radiographically examined and monitored on control examinations at least three years. The mobility of joints was measured and pain existence was estimated by visual analog scale. Results. All 13 patients with tarsal dislocation were male. Four patients were treated surgically (two patients with tarsometatarsal and one with cuboid and navicular dislocation) and other patients had non-surgical treatment. In ten patients, an excellent functional result has been achieved and in two patients with tarsometatarsal dislocation a good functional result. In one patient with cuboidal dislocation satisfactory functional result has been achieved. Conclusion. Out of the 13 reviewed patients with tarsal dislocations, functional results were rated excellent in ten dislocations, good in two, and satisfactory in one. Diagnosis and treatment of foot dislocations are demanding, but with adequate treatment of these injuries, a favorable functional outcome can be expected.

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Case report: irreducible medial subtalar dislocation with incarcerated anterior talar head fracture in a young patient

Cited by 5 publications

References 10 publications

Isolated Subtalar Dislocations: Insights from a Case Study and Literature Review

Isolated Subtalar Dislocations: Insights from a Case Study and Literature Review

Neglected Posterior Subtalar Dislocation: A Case Report and Operative Technique

Our results in the treatment of tarsal dislocations

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