Medial subtalar dislocation

Kınık, Hakan; Oktay, Olcay; ARIKAN, Muzaffer; Mergen, Ertan

doi:10.1007/s002640050396

Cited by 28 publications

(4 citation statements)

References 5 publications

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“…Management of StD requires immediate reduction under sedation to avoid soft-tissue and vascular complications [ 1 ]. Closed reduction is usually successful [ 1 , 12 , 13 ]. In nonreducible cases, however, multiple reduction attempts using force should not be undertaken, and open reduction should be performed without delay [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Homogeneity was also ensured by the fact that all patients received the same reduction method, which consisted of manipulation under sedation. It should be noted that none of the patients needed to receive general anesthesia, as usually suggested in literature [ 1 , 12 , 13 ]. Sedation proved sufficient, allowing immediate reduction in the A & E department and saving valuable time that would be lost if the patient had to be transferred to theater and receive general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

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Early mobilization after uncomplicated medial subtalar dislocation provides successful functional results

Lasanianos

Lyras

Mouzopoulos

et al. 2011

J Orthopaed Traumatol

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BackgroundSubtalar dislocation is a rare injury, with the medial type occurring in the majority of cases. The period of postreduction immobilization is a matter of controversy. Most studies set the period of immobilization between 4 and 8 weeks. The hypothesis in this study is that a period of 2–3 weeks of immobilization in a cast, followed by early mobilization, could provide better functional results than longer periods of immobilization.Materials and methodsDuring a period of 4 years, eight patients (six men, two women) with mean age of 37.2 years and uncomplicated medial subtalar dislocation were treated in our institution. Immediate reduction under sedation and cast immobilization was provided in all cases. Our rehabilitation protocol consisted of two completed weeks of immobilization and thereafter ankle range-of-motion exercises and partial weight-bearing mobilization. Patients were followed up for a mean period of 3 years. Clinical results were evaluated using the AOFAS Ankle–Hindfoot scale.ResultsAll patients achieved almost normal ankle range of motion and good clinical outcome (mean AOFAS score 92.25). No radiographic evidence of arthritis or avascular necrosis of the talus was detected. Two patients complained of mild pain of the hindfoot. All patients returned to daily routine activities in about 2 months from injury.ConclusionsImmediate reduction and early mobilization could be key factors for uneventful recovery of uncomplicated medial subtalar dislocation. Multicenter clinical trials are needed for further validation of our initial results.Level of evidenceIII, prospective clinical series study.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Early mobilization after uncomplicated medial subtalar dislocation provides successful functional results

Lasanianos

Lyras

Mouzopoulos

et al. 2011

J Orthopaed Traumatol

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“…For isolated medial subtalar dislocation occurring during sports activities, the first choice is the conservative treatment [2]. In 33 studies about 439 patients with isolated subtalar dislocation, 85% were treated with closed reduction followed by immobilization for 3 to 6 weeks and good to excellent results were obtained [11][12][13][14][15][16]. The period of immobilization remains controversial [3].…”

Section: Discussionmentioning

confidence: 99%

Isolated Medial Subtalar Joint Dislocation during Soccer (Football) Game: A Case Report and Review of the Literature

MR¹,

Bassir²,

Mekkaoui³

et al. 2021

austinjorthopaderheumatol

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Ankles injuries are common in sports such as football and soccer and one of the most serious and most rare is the subtalar dislocation. This injury is rare, touches young male patients and usually associated to fractures of the talus, the malleoli or the fifth metatarsal. Usually, this injury occurs in high-energy trauma, but it is very rare in sports injuries. Here we present the case of a 36-year-old male with an isolated Medial Subtalar Joint Dislocation after a severe tackle in a football (soccer) game. We performed a closed reduction under general anesthesia, and then a short-leg cast was applied for 4 weeks, followed by active and passive range of motion. At one-year follow up from trauma, the patient had a pain-free ankle with active full range of motion. For isolated medial subtalar dislocation occurring during sports activities, the first choice is the conservative treatment: Immediate closed reduction needs to be achieved followed by a short immobilization. Active/passive range of motion need to be started early to avoid joint stiffness.

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“…Falls from a height (30% -90%) or traffic accidents (50%) are the most common causes [1] [2]. In 85% of cases, men are affected [3]. It is a rare injury and only occurs in 1% -2% of all dislocations [2] [4] [5].…”

Section: Introductionmentioning

confidence: 99%

Subtalar Dislocation: Long-Term Follow-Up and CT-Morphology

Hoelscher-Doht

Frey²,

Kiesel³

et al. 2015

OJO

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Introduction: Although rare, subtalar dislocations are severe injuries with long-term alterations such as clinical dysfunction or painful posttraumatic arthritis. The objective of this study was to investigate long-term morphological changes of subtalar dislocations and to correlate them to clinical function. Based on the conclusions, suggestions for therapy guidelines were made in order to improve the functional outcome. Methods: Twenty-two patients (12 with a medial, 9 with a lateral and 1 with an anterior dislocation) were re-examined with an average follow-up time of 10 years. Radiological results of a computer tomography examination of the hindfoot were related to the clinical outcome, and both were discussed in the context of further parameters, such as additional injuries, time until reduction, and post-reduction treatment. Results: Additional injuries were found to affect the clinical outcome and/or the radiological changes. Predictive factors for limited range of motion were severe skin trauma and traumatic brain injuries. Factors that predicted both poor clinical function and clear signs of arthritis included complex talus, ankle and calcaneus fractures, long time until reduction, and infection. Conclusions: In many cases, radiological results can be correlated to clinical outcomes. However, the modulating effects of additional injuries should be considered when planning therapy. In cases with additional fractures of the talus and the calcaneus, suffering pain may be reduced by an early arthrodesis of the talo-calcanear joint. In cases involving a long stay on an intensive care unit, early functional treatment by passive motion should be discussed in special cases to improve the clinical outcome.

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Medial subtalar dislocation

Cited by 28 publications

References 5 publications

Early mobilization after uncomplicated medial subtalar dislocation provides successful functional results

Early mobilization after uncomplicated medial subtalar dislocation provides successful functional results

Isolated Medial Subtalar Joint Dislocation during Soccer (Football) Game: A Case Report and Review of the Literature

Subtalar Dislocation: Long-Term Follow-Up and CT-Morphology

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