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Related Experiment Videos

Instability of the subtalar joint.

T O Clanton1

  • 1Division of Orthopaedic Surgery, University of Texas Medical School, Houston.

The Orthopedic Clinics of North America
|October 1, 1989
PubMed
Summary

Subtalar joint instability, often linked to ankle injuries, can be diagnosed using various imaging techniques. Treatment options include both nonoperative and operative approaches for this hindfoot condition.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomechanics

Background:

  • Subtalar joint instability frequently follows inversion stress injuries to the lateral ankle and hindfoot.
  • Key ligaments involved include the calcaneofibular, lateral talocalcaneal, cervical, and interosseous talocalcaneal ligaments, or combinations thereof.
  • This condition may occur independently or alongside lateral ankle instability, and its treatment is not uniformly addressed by lateral ankle ligament reconstructions.

Purpose of the Study:

  • To review the diagnostic modalities and treatment strategies for subtalar joint instability.
  • To highlight the importance of recognizing subtalar instability as a distinct entity or in conjunction with ankle injuries.

Main Methods:

  • Review of diagnostic techniques including routine and specific stress radiographs, stress tomograms, fluoroscopy, and subtalar arthrograms.
  • Discussion of nonoperative and operative treatment options for diagnosed subtalar instability.

Main Results:

  • Subtalar joint instability can result from various ligamentous injuries.
  • Multiple diagnostic imaging techniques are available for accurate diagnosis.
  • Both nonoperative and operative treatments exist for managing subtalar instability.

Conclusions:

  • Accurate diagnosis of subtalar joint instability is crucial for effective management.
  • A range of diagnostic tools can identify subtalar instability.
  • Treatment decisions should consider both nonoperative and operative pathways.

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