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A Mouse Model of Ankle-Subtalar Complex Joint Instability
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Currently used imaging options cannot accurately predict subtalar joint instability.

Nicola Krähenbühl1, Maxwell W Weinberg1, Nathan P Davidson1

  • 1Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT, 84108, USA.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
|October 28, 2018
PubMed
Summary
This summary is machine-generated.

Diagnosing chronic subtalar joint instability is challenging, as current imaging methods lack reliability. Clinical evaluation is crucial for identifying this treatable cause of ankle pain.

Keywords:
Hindfoot instabilityImagingOutcomeSubtalar instabilitySubtalar joint

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Area of Science:

  • Orthopedic Surgery
  • Diagnostic Imaging
  • Sports Medicine

Background:

  • Chronic subtalar joint instability is a significant cause of persistent ankle pain and dysfunction.
  • Accurate diagnosis is essential for effective treatment and patient recovery.

Purpose of the Study:

  • To systematically review current diagnostic imaging modalities for chronic subtalar joint instability.
  • To provide an overview of surgical treatment options for this condition.

Main Methods:

  • A comprehensive literature search was conducted on PubMed, ScienceDirect, and SpringerLink.
  • Included 23 diagnostic imaging studies and 19 outcome studies.
  • Assessed study quality using QUADAS-2 and modified Coleman Score.

Main Results:

  • Conventional radiography is the most common imaging technique.
  • Talar tilt, anterior talar translation, and subtalar tilt are frequently used measurements.
  • Calcaneofibular ligament reconstruction is a common surgical approach.

Conclusions:

  • Existing imaging techniques do not reliably predict subtalar joint instability.
  • Differentiating subtalar joint instability from chronic lateral ankle instability remains difficult.
  • Vigilant clinical assessment is necessary to identify subtalar joint instability as a treatable condition.