Rare case of pure medial subtalar dislocation in a basketball player

Benabbouha, Abdellatif; Ibou, Nacer

doi:10.11604/pamj.2016.23.106.8848

Cited by 4 publications

(5 citation statements)

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“…Subtalar dislocation is noted more often in road traffic accidents than in sports injury because it involves greater velocity of force and higher energy transfer [ 5 ]. Lateral STJD is even rarer.…”

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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“…The incidence is low, and it is easy to be confused with ankle dislocation, which accounts for about 1% of total joint dislocation. 5 , 6 , 7 Rarity of this injury can be attributed to the strong ligaments connecting the talus and the calcaneus, the strong biomechanical properties of the ankle and the tight joint capsule. 8 Most of the literature on this rare injury consists of isolated case reports rather than large case series, based on a PubMed literature search within the past 10 years.…”

Section: Discussionmentioning

confidence: 99%

Treatment of closed subtalar joint dislocation: A case report and literature review

Wang

Huang

2020

Chinese Journal of Traumatology

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Subtalar dislocation is defined as a separation of the talocalcaneal and talonavicular articulations, commonly caused by high-energy mechanisms, which include falls from height, motor vehicle crashes, and twisting leg injuries. The dislocations are divided into medial, lateral, anterior, and posterior types on the basis of the direction in which the distal part of the foot has shifted in relation to the talus. The most common type is medial dislocation resulted from inversion injury. Subtalar dislocation may accompany with other fractures. Physical examination must be performed carefully to assess for neurovascular compromise. Most of the subtalar dislocations can be treated with closed reduction under sedation. If this is not possible, open reduction without further delay should be conducted. After primary treatment, X-ray and computed tomography scan should be performed to evaluate the alignment and the fractures. We report a 37-year-old male patient sustained a subtalar dislocation without any bony injury when he was playing football. The patient was successfully treated by closed reduction, and a good alignment was observed at the last follow-up. The pathogenesis and treatment method of this case were analyzed, and the related literature were reviewed, which provided a reference for future clinical treatment.

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“…The mean age at treatment was 32.54 years, ranging from 16 to 71 years [23,32]. The total number of patients for each study ranged between one and 10 [22,[24][25][26][27][28][29][30][31][32]. In one paper, the affected ankle was not specified (for a total of four patients); of the remaining 22 patients, the right ankle was affected 15 times (68.18%) and the left ankle seven times (31.82%).…”

Section: Patient Populationmentioning

confidence: 99%

“…The mean value of the Down and Black scale [20] was 9.58 points, showing that the mean quality of the included studies was poor. Among the 12 studies considered, 10 had poor results [22][23][24][25][26][27][28][29][30][31] and two had fair results [32,33]; more specifically, two papers had six points [27,29], two papers had seven points [25,28], one paper had eight points [24], two papers had nine points [22,26], one paper had 10 points [30], one paper had 11 points [31], one paper had 12 points [23], and two papers had 15 points [32,33].…”

Section: Quality Assessmentmentioning

confidence: 99%

Isolated Medial Subtalar Joint Dislocation during Sports Activities: A Systematic Review of the Literature with Individual Participant Data Analysis

et al. 2021

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In athletes, one of the most common injuries is a sprained ankle. If the energy of the trauma is particularly high, this type of injury can lead to an isolated medial dislocation of the subtalar joint (STJ), a rare condition poorly described in the literature. The aim of this study was to verify if a reliable conservative treatment and a specific physiotherapy rehabilitation protocol in isolated medial dislocation of the STJ in athletes is described in the literature. A systematic review of the published literature of the last 11 years was performed by applying the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines using three databases: Pubmed, Scopus, and Web of Science. The keywords used were “(subtalar OR talocalcaneal) AND dislocation”. We considered only studies that included professional or amateur athletes (athletic patients). We used the American Orthopedic Foot and Ankle Society (AOFAS) scale, range of motion (ROM) of the subtalar and ankle joint, subtalar and talonavicular joint osteoarthritis, and patient feedback to evaluate their outcomes. A total of 12 studies were included in our review, with a total of 26 athletic patients. Sixteen of them had good results with the correlation between the duration of immobilisation and the outcomes. Nevertheless, due to the small number of patients included in the analysed studies on this subject in the literature, there is not yet a univocal clinical protocol to treat the isolated medial subtalar joint dislocation (STJD) warranting further research in the field.

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Rare case of pure medial subtalar dislocation in a basketball player

Cited by 4 publications

References 0 publications

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

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

Treatment of closed subtalar joint dislocation: A case report and literature review

Isolated Medial Subtalar Joint Dislocation during Sports Activities: A Systematic Review of the Literature with Individual Participant Data Analysis

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