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Subtalar dislocations.

T J Zimmer1, K A Johnson

  • 1Mayo Graduate School of Medicine, Rochester, Minnesota.

Clinical Orthopaedics and Related Research
|January 1, 1989
PubMed
Summary
This summary is machine-generated.

Subtalar dislocations are rare, with medial injuries being most common. Younger patients treated with less immobilization experienced symptomatic subtalar instability.

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Sports Medicine

Background:

  • Subtalar dislocations are infrequent injuries.
  • Accurate data on subtalar dislocations is limited.
  • Understanding injury patterns and outcomes is crucial for effective treatment.

Purpose of the Study:

  • To summarize recent major series on subtalar dislocations.
  • To analyze the characteristics, associated injuries, and outcomes of subtalar dislocations.
  • To identify factors influencing symptomatic subtalar instability.

Main Methods:

  • Systematic review of eight major series (more than five patients).
  • Inclusion of institutional experience from 1975 to 1985 (12 patients).
  • Analysis of dislocation type, associated fractures, injury severity, and patient demographics.

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Main Results:

  • Medial subtalar dislocations predominated (79.5%), followed by lateral (17%).
  • Associated fractures were common, especially with lateral dislocations (72%).
  • Open injuries were more frequent with lateral dislocations (25%); avascular necrosis was uncommon (4%-5%).

Conclusions:

  • Medial subtalar dislocations are the most prevalent type.
  • Prompt diagnosis and appropriate management are essential to minimize complications.
  • Symptomatic subtalar instability is more likely in younger patients with shorter immobilization periods.