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Fixed subtalar subluxation in a pediatric patient: an unusual entity.

Brian T Fitzgerald1, Bruce L Gillingham

  • 1Department of Orthopedic Surgery, Naval Medical Center, San Diego, California, USA.

American Journal of Orthopedics (Belle Mead, N.J.)
|December 25, 2002
PubMed
Summary

This report details a rare case of atraumatic, fixed subtalar joint subluxation in a pediatric patient. This condition, previously undescribed in children, highlights a unique presentation in pediatric orthopedics.

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Foot and Ankle Surgery

Background:

  • Subluxation of the subtalar joint is a known condition.
  • Fixed subluxation is typically associated with trauma.
  • Atraumatic presentations are less common, especially in pediatric cases.

Observation:

  • A skeletally immature boy presented with atraumatic, fixed subluxation of the subtalar joint.
  • The condition was identified without a history of significant injury.
  • Clinical examination and imaging confirmed the fixed nature of the subluxation.

Findings:

  • This case represents the first documented instance of atraumatic, fixed subtalar joint subluxation in the pediatric population.
  • The findings suggest that non-traumatic mechanisms can lead to fixed subtalar joint instability in children.

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  • The specific etiology in this pediatric case remains to be elucidated.

    • Implications:

    • This report expands the understanding of subtalar joint pathology in children.
    • It suggests the need for considering atraumatic causes for fixed subtalar subluxation in pediatric patients.
    • Further research is warranted to explore the underlying mechanisms and long-term outcomes of this condition.