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Lateral subtalar dislocation in a 19-month-old female
Christopher P Dougherty1, Robert W Nebergall, Paul M Caskey
1Missouri Orthopedics and Sports Medicine, Inc., Farmington, Missouri 63640, USA. dougherty@charterinternet.com
American Journal of Orthopedics (Belle Mead, N.J.)
|January 10, 2004
Summary
A rare lateral subtalar dislocation occurred in a 19-month-old girl following a minor fall. This case highlights the need for comprehensive pediatric examinations to detect subtle injuries like dislocations.
Area of Science:
- Orthopedics
- Pediatric Traumatology
Background:
- Subtalar joint dislocations are uncommon pediatric injuries.
- Literature review indicates a lack of reported cases in infants and toddlers.
Observation:
- A 19-month-old female sustained a lateral subtalar dislocation after a low-energy fall.
- The injury was initially not diagnosed as a dislocation.
Findings:
- This represents the youngest reported case of lateral subtalar dislocation.
- Delayed diagnosis can occur if subtle injuries are missed.
Implications:
- Thorough physical examination is crucial in pediatric patients presenting with lower extremity injuries.
- In cases of unexplained refusal to bear weight, occult fractures or dislocations should be considered and ruled out.