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Subtalar subluxation in ballet dancers.

J Ménétrey1, D Fritschy

  • 1Clinique and Policlinique d'Orthopédie, Hôpitaux Universitaires de Genève, Switzerland.

The American Journal of Sports Medicine
|April 2, 1999
PubMed
Summary

Subtalar subluxation is an underreported ankle injury in dancers, often occurring during specific movements like grand plié. Early diagnosis and manipulative reduction, followed by continuous taping, are key to dancer recovery and preventing chronic issues.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Dance Medicine

Background:

  • Ankle injuries are common in dancers, but subtalar subluxation is rarely documented.
  • This study focuses on subtalar subluxations within a professional ballet company.

Observation:

  • Twenty-five cases of subtalar subluxation were diagnosed and treated over one year.
  • Injuries occurred during grand plié on pointe or jump landings on demi-pointe, without typical ankle sprain mechanisms.
  • Dancers reported sudden, sharp pain and a sensation of forward foot displacement.

Findings:

  • Palpation revealed pain in the talonavicular ligament, anterior talofibular ligament, and posteromedial subtalar joint.
  • Clinical examination showed limited ankle extension and subtalar joint hypomobility.
  • Shearing forces on the midtarsal joint were identified as the cause of posteromedial subtalar subluxation.

Implications:

  • Treatment involved manipulative reduction of the subluxation.
  • Continuous taping was recommended for six weeks to stabilize the talonavicular joint.
  • Dancers could resume pool-based activity in two weeks and on-ground dancing in three to four weeks.
  • Recurrence and chronicity of subtalar subluxation are possible, necessitating ongoing management.

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