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Subtalar dislocation

S T Monson, J R Ryan

    The Journal of Bone and Joint Surgery. American Volume
    |September 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Medial subtalar dislocations often result in some loss of ankle motion. However, lateral subtalar dislocations are more likely to cause significant disability and functional impairment.

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    Area of Science:

    • Orthopedic Surgery
    • Traumatology
    • Sports Medicine

    Background:

    • Subtalar joint dislocations are rare injuries.
    • Medial subtalar dislocations are more common than lateral ones.
    • These injuries can lead to significant functional impairment.

    Purpose of the Study:

    • To evaluate the outcomes of medial subtalar dislocations.
    • To compare the functional results of medial versus lateral subtalar dislocations.
    • To assess the long-term effects on subtalar joint motion.

    Main Methods:

    • Retrospective review of eleven medial subtalar dislocations and one lateral dislocation treated between 1969 and 1978.
    • Follow-up assessment of eight patients with a mean of 28 months post-injury.
    • Qualitative measurement of subtalar joint range of motion.

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    Main Results:

    • No major talar fractures were associated with these dislocations.
    • All patients experienced some degree of reduced subtalar motion.
    • The single lateral dislocation resulted in significant functional disability.

    Conclusions:

    • Medial subtalar dislocations, while causing some motion loss, may not lead to major disability.
    • Lateral subtalar dislocations appear to have a poorer prognosis regarding functional outcome.
    • Further research is needed to establish optimal treatment protocols for subtalar joint dislocations.