Anteromedial subtalar dislocation.
Subtalar dislocation is the simultaneous dislocation of the talocalcaneal and talonavicular joints of the foot, typically caused by falls from heights, twisting leg injuries and motor vehicle accidents. The dislocation can occur medially, lateral, anterior or posterior, but most commonly occurs from inversion injury producing a medial dislocation. These dislocations may be accompanied by fractures. Careful physical examination must be performed to assess for neurovascular compromise. Most subtalar dislocations can be treated with closed reduction under sedation. However, if the dislocation is associated with an open fracture it may require reduction in the operating room. Treatment should include postreduction plain x-ray and CT scan to evaluate for proper alignment and for fractures. This article presents a case of medial subtalar dislocation in a 23-year-old football player.
Department of Sports Medicine, Family Medicine, Orthopedics, University of North Carolina Chapel Hill, Chapel Hill, NC, USA. harry_stafford@med.unc.edu
Harry
H
Stafford
Blake
B
Boggess
Alison
A
Toth
David
D
Berkoff
D000328:Adult; D005538:Football / Q000293:injuries*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging* / Q000628:therapy*; D008297:Male; D011859:Radiography; D013380:Subtalar Joint / Q000000981:diagnostic imaging / Q000293:injuries*; D055815:Young Adult