L Camarda1, A Abruzzese2, A La Gattuta2, R Lentini2, M D'Arienzo3. 1. Department of Orthopaedic Surgery (DICHIRONS), University of Palermo, Via del Vespro 159, 90100, Palermo, Italy. lawrence.camarda@unipa.it. 2. Orthopaedics and Traumatology Unit, Policlinico "P. Giaccone", Palermo, Italy. 3. Department of Orthopaedic Surgery (DICHIRONS), University of Palermo, Via del Vespro 159, 90100, Palermo, Italy.
Abstract
BACKGROUND: The subtalar dislocation (SD) of the foot is an uncommon injury characterized by a simultaneous dislocation of talocalcaneal and talonavicular joints without involvement of the tibiotalar and calcaneocuboid joints. PURPOSES: The purpose of this study was to evaluate the clinical and radiological outcome in a consecutive series of close SD. METHODS: We retrospectively evaluated a case series of patients who presented a close SD. Thirteen patients were selected for this study. There were 9 patients with a medial SD, 3 patients with a lateral dislocation and 1 patient with a posterior subtalar dislocation. RESULTS: The most frequent symptoms observed in our study included transient mild pain, swelling and decreased ankle ROM, which did not restrict patients' daily activities. However, lower AOFAS scores were observed on patients with associate peritalar osseous injuries. CONCLUSION: The results of the present study suggest that detecting and treating any associate peritalar fractures are the keys to a successful long-term outcome.
BACKGROUND: The subtalar dislocation (SD) of the foot is an uncommon injury characterized by a simultaneous dislocation of talocalcaneal and talonavicular joints without involvement of the tibiotalar and calcaneocuboid joints. PURPOSES: The purpose of this study was to evaluate the clinical and radiological outcome in a consecutive series of close SD. METHODS: We retrospectively evaluated a case series of patients who presented a close SD. Thirteen patients were selected for this study. There were 9 patients with a medial SD, 3 patients with a lateral dislocation and 1 patient with a posterior subtalar dislocation. RESULTS: The most frequent symptoms observed in our study included transient mild pain, swelling and decreased ankle ROM, which did not restrict patients' daily activities. However, lower AOFAS scores were observed on patients with associate peritalar osseous injuries. CONCLUSION: The results of the present study suggest that detecting and treating any associate peritalar fractures are the keys to a successful long-term outcome.
Authors: Pascal Jungbluth; Michael Wild; Mohssen Hakimi; Sebastian Gehrmann; Melani Djurisic; Joachim Windolf; Gert Muhr; Thomas Kälicke Journal: J Bone Joint Surg Am Date: 2010-04 Impact factor: 5.284