Pure Medial Subtalar Dislocation: Case Report and Literature Review

Keywords: Subtalar dislocation, complications, closed reduction

Abstract

Isolated subtalar dislocations without associated fractures are a rare entity. They represent only 1% of dislocations in humans. We present a series of 3 cases of pure medial dislocations in patients who suffered high-energy trauma. In all cases, the treatment was closed reduction under anesthesia and subsequent immobilization; all with good results. Subtalar dislocations require early diagnosis and rapid resolution. The aim of this presentation is to demonstrate the importance of diagnostic suspicion and the benefit of early treatment for successful outcomes.Level of Evidence: IV

Downloads

Download data is not yet available.

Author Biographies

Marcos Raúl Latorre, Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Marcos L. Latorre, MD. Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Javier Eduardo Sánchez Saba, Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Javier E. Sánchez Saba, MD. Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Mariano Oscar Abrego, Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Mariano O. Abrego, MD. Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Fernando Díaz Dilernia, Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Fernando Díaz Dilernia, MD. Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Franco Luis De Cicco, Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Franco L. De Cicco, MD. Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Facundo Bilbao, Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Facundo Bilbao, MD. Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina

References

Perugia D, Basile A, Massoni C, Gumina S, Rossi F, Ferretti A. Conservative treatment of subtalar dislocations. Int Orthop 2002;26:56-60. https://doi.org/10.1007/s002640100296

Tucker DJ, Burian G, Boylan JP. Lateral subtalar dislocation: review of the literature and case presentation. J Foot Ankle Surg 1998;37(3):239-47. https://doi.org/10.1016/s1067-2516(98)80118-x

Malgaigne JF, Burger DC. Die Knochenbrüche und VerrenKungen. Stuttgart, Germany: Rieger; 1856;(11):820.

Saltzman C, Marsh JL. Hindfoot dislocations: when are they not benign? J Am Acad Orthop Surg 1997;5(4):192-

https://doi.org/10.5435/00124635-199707000-00002

Freund KG. Subtalar dislocations: a review of the literature. J Foot Ankle Surg 1989;28(5):429-32. PMID: 2685089

Bibbo C, Anderson R, Davis W. Injury characteristics and the clinical outcome of subtalar dislocations: a clinical

and radiographic analysis of 25 cases. Foot Ankle Int 2003;24(2):158-63. https://doi.org/10.1177/107110070302400210

DeLee JC, Curtis RC. Subtalar dislocation of the foot. J Bone Joint Surg Am 1983;64:433-7. PMID: 7061560

Merchan EC. Subtalar dislocations: long-term follow-up of 39 cases. Injury 1992;23:97-100.

https://doi.org/10.1016/0020-1383(92)90041-p

Giannoulis D, Papadopoulos D, Lykissas M, Koulouvaris P, Gkiatas I, Mavrodontidis A. Subtalar dislocation

without associated fractures: Case report and review of literature. World J Orthop 2015;6(3):374-9. https://doi.org/10.5312/wjo.v6.i3.374

Ogiuchi M, Suzuki K, Takahashi S. Experience of subtalar dislocation. JJTOM 1974;1172-5.

Inokuchi S, Hashimoto T, Usami N. Posterior subtalar dislocation. J Trauma 1997;42:310-13.

https://doi.org/10.1016/S0958-2592(96)90016-4

Heckman JD. Fractures of the talus. En: Bucholz RW, Heckman JD (eds.). Rockwood and Green’s fractures in

adults, 5a ed. Philadelphia: Lippincott Williams and Wilkins; 2001:2091-132.

Merianos P, Papagiannakos K, Hatzis A, Tsafantakis E. Peritalar dislocation: a follow-up report of 21 cases. Injury 1988;19(6):439-42. https://doi.org/10.1016/0020-1383(88)90143-x

Garofalo R, Moretti B, Ortolano V, Cariola P, Solarino G, Wettstein M, et al. Peritalar dislocations: a retrospective study of 18 cases. J Foot Surg 2004;43(3):166-72. https://doi.org/10.1053/j.jfas.2004.03.008

Published
2021-02-11
How to Cite
Latorre, M. R., Sánchez Saba, J. E., Abrego, M. O., Díaz Dilernia, F., De Cicco, F. L., & Bilbao, F. (2021). Pure Medial Subtalar Dislocation: Case Report and Literature Review. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(1), 83-90. https://doi.org/10.15417/issn.1852-7434.2021.86.1.1099
Section
Case Presentations