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Subtalar joint instability: current clinical concepts.

Adam Budny1

  • 1St. Vincent's Charity Hospital, 2351 East 122nd Street, Cleveland, OH 44125, USA. ambudny@dmu.edu

Clinics in Podiatric Medicine and Surgery
|July 13, 2004
PubMed
Summary

Subtalar joint instability after injury remains controversial, with ongoing debate about its evaluation and treatment. This review examines current literature to clarify the biomechanics and diagnostic approaches for subtalar joint injuries.

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Area of Science:

  • Podiatric medicine
  • Orthopedic biomechanics
  • Sports medicine

Background:

  • The subtalar joint (STJ) is crucial for foot and ankle biomechanics.
  • Instability of the STJ, often resulting from inversion ankle sprains, presents diagnostic and therapeutic challenges.
  • Existing literature reveals controversy regarding the evaluation and treatment of subtalar joint injuries.

Purpose of the Study:

  • To review and synthesize current literature on subtalar joint (STJ) biomechanics and instability.
  • To explore the controversies surrounding the diagnosis and management of STJ injuries.
  • To evaluate the evolving role of diagnostic technologies in assessing STJ pathology.

Main Methods:

  • Comprehensive literature search of studies related to subtalar joint biomechanics, injury, and instability.

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  • Analysis of diagnostic modalities including radiography, CT, and MRI.
  • Review of treatment strategies and outcomes for subtalar joint sprains.

    • Main Results:

    • Significant debate exists regarding the precise biomechanics of the STJ and its response to injury.
    • Current diagnostic tools offer varied capabilities, with no single method universally adopted.
    • Treatment approaches for chronic subtalar instability lack a definitive consensus.

    Conclusions:

    • The diagnosis and management of subtalar joint instability require further clarification.
    • A critical review of the literature is necessary to address the ongoing controversies.
    • Advancements in imaging technology may offer improved diagnostic accuracy for STJ injuries.