Irreducible isolated subtalar dislocation: a case report.
Subtalar dislocations are uncommon and account for approximately 1% of all dislocations. Optimal management is by immediate closed reduction under general anesthesia. We report 3 cases of irreducible, isolated subtalar dislocation that required an open procedure. Closed reduction failed in 2 patients with lateral dislocation due to interposition of the posterior tibialis tendon caused by a large tear of the flexor retinaculum. The flexor retinaculum was accurately reconstructed after the reduction. In the third case, a medial dislocation, a displaced extensor retinaculum prevented relocation of the talar head and required resection. We also discuss the mechanisms for irreducible subtalar dislocations.
Cattedra di Ortopedia e Traumatologia, Universitá Politecnica delle Marche, Via Conca, Torrette, Ancona, 60100, Italy. l.depalma@univpm.it
Luigi
L
de Palma
Attilio
A
Santucci
Mario
M
Marinelli
D000328:Adult; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D008297:Male; D013380:Subtalar Joint