Related Experiment Video
Updated: Jul 25, 2026
07:24
Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
10.4K
[Translated article] Subtalar dislocations: Analysis of a case series. Our urgent treatment algorithm
J Gómez Alcaraz1, E Ajuria Fernández1, J M García López1
1Servicio Cirugía Ortopédica y Traumatología, Hospital Universitario 12 de Octubre, Madrid, Spain.
Revista Espanola De Cirugia Ortopedica Y Traumatologia
|November 22, 2023
Summary
Subtalar dislocations, rare foot injuries, require prompt reduction and immobilization. These serious injuries often lead to early osteoarthritis, with external fixation being a viable option for open cases.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Podiatric Medicine
Background:
- Subtalar dislocations are infrequent traumatic foot injuries, characterized by disrupted talocalcaneal and talonavicular relationships.
- Existing literature on subtalar dislocations consists primarily of small case series, highlighting a need for further descriptive analysis.
Purpose of the Study:
- To analyze epidemiological, clinical, and radiological variables in a series of subtalar dislocations.
- To propose an urgent treatment algorithm for subtalar dislocations based on the findings.
- To exclude specific related injuries such as talar neck fractures or calcaneal body fractures.
Main Methods:
- A descriptive analysis was performed on 13 patients with subtalar dislocations.
- Exclusion criteria included talar neck fractures, calcaneal body fractures, and isolated Chopart fracture-dislocations.
- Epidemiological, clinical, and radiological data were collected to inform treatment strategies.
Main Results:
- The median patient age was 48.5 years, with a male predominance (69.23%).
- Medial dislocations (9 cases) were more common than lateral dislocations (4 cases).
- Four patients had open dislocations (two requiring amputation), and 76.93% underwent CT scans, revealing associated bone lesions in 10 patients.
Conclusions:
- Subtalar dislocations are orthopedic emergencies necessitating early reduction and immobilization.
- Transarticular external fixation is a suitable immobilization method for open subtalar dislocations.
- These injuries carry a significant risk of developing early post-traumatic osteoarthritis.
Related Concept Videos
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:10Ankle Joint
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...