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Bilateral subtalar dislocations. A case report.

D A Mattingly, P J Stern

    Clinical Orthopaedics and Related Research
    |July 1, 1983
    PubMed
    Summary
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    Neurologic damage can occur with bilateral subtalar dislocations, potentially worsening outcomes. Technetium-99m bone scans help assess talar body vascularity in these cases.

    Area of Science:

    • Orthopedic Surgery
    • Radiology
    • Trauma Care

    Background:

    • Subtalar dislocations are rare injuries.
    • Associated neurologic damage can complicate outcomes.
    • Assessing talar body vascularity is crucial for treatment planning.

    Observation:

    • A case study of a 29-year-old male with bilateral subtalar dislocations.
    • The patient experienced accompanying neurologic deficits.
    • Serial bone scans were utilized for evaluation.

    Findings:

    • Neurologic injury is a significant risk factor for poor outcomes in subtalar dislocations.
    • Technetium-99m bone scans with pin-hole collimation effectively evaluate talar body vascularity.
    • This imaging technique aids in understanding injury severity.

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    Implications:

    • Early identification of neurologic damage is vital for managing subtalar dislocations.
    • Bone scintigraphy provides valuable information for surgical and non-surgical management decisions.
    • This case highlights the importance of comprehensive assessment in complex foot and ankle trauma.