Closed isolated subtalar dislocation: A rare clinical entity with a combined rehabilitation approach

Tzimas, Vasileios; Panagiotopoulos, Vasileios; Konidaris, Konstantinos; Georgoulas, Paraskevas

doi:10.1016/j.tcr.2020.100361

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…A non-weight-bearing below-knee cast is usually kept for three weeks to four months. In the study conducted by Lasanianos et al, early ankle ROM exercises after medial subtalar dislocation appear to achieve better functional results as they help the tendons and ligaments to heal without altering proprioception of the joint [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Fractured Posterior Facet of the Talus in Association With Open Medial Subtalar Dislocation

Ahmed¹,

Balaji²,

Naidu³

et al. 2021

Cureus

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Subtalar or peritalar dislocation is the loss of contact between the articular surface of the talus distally and the calcaneum and navicular. In this paper, a case of open medial type of subtalar dislocation associated with fractured posterior facet of the talus in a 27-year-old man with a history of road traffic accident was reported. Immediate wound irrigation and open reduction under general anesthesia at the emergency room operation theater was successful followed by cast immobilization. At one-year follow-up, the patient was walking and carrying out his daily activities with mild restriction of inversion and eversion movements. Extensive wound debridement followed by immediate reduction and, when required, stabilization are the principal features of management. Open subtalar dislocation is an extremely rare injury and often poses a treatment dilemma. Early debridement and open reduction of the dislocation like in our case can give good functional outcome for an open medial subtalar dislocation at one-year follow-up. Temporary stabilization of dislocation in the form of Kirschner wires maybe needed in some cases only.

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Section: Discussionmentioning

confidence: 99%

A Rare Case of Fractured Posterior Facet of the Talus in Association With Open Medial Subtalar Dislocation

Ahmed¹,

Balaji²,

Naidu³

et al. 2021

Cureus

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Traumatic subtalar joint dislocation

Anazor

Dhinsa

2023

Br J Hosp Med

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Although uncommon, subtalar joint dislocations remain a frequently missed orthopaedic emergency. Detailed soft tissue and neurovascular assessment is important and these should be documented as appropriate. Failure of urgent reduction might lead to increased risk of conversion to an open injury as a result of pressure necrosis of the overlying skin, risk of talar avascular necrosis and risk of neurovascular compromise. A computed tomography scan is needed in all cases following successful closed or open reduction to identify associated occult foot and ankle fractures. The goal of treatment is to reduce the risk of soft tissue and neurovascular compromise and achieve a supple, painless foot. This article highlights the importance of early identification of this injury and institution of appropriate management according to the latest evidence, to reduce the risk of complications and lead to the best outcomes.

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