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Evaluation and management of subtalar dislocations
The Journal of Trauma
|June 1, 1980
Summary
Subtalar dislocations, often medial, typically result in good outcomes with closed reduction and immobilization. While many patients experience restricted motion or arthritis, few remain symptomatic after treatment.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- Subtalar dislocations are rare injuries.
- Understanding outcomes is crucial for treatment protocols.
Purpose of the Study:
- To review outcomes of subtalar dislocations.
- To identify factors influencing prognosis.
Main Methods:
- Retrospective review of 20 subtalar dislocations (1950-1979).
- All patients underwent clinical and radiographic follow-up.
- Data collected on injury type, treatment, and outcomes.
Main Results:
- Medial dislocations (17/20) were most common.
- Lateral dislocations (3/3) were associated with fractures.
- 80% had restricted motion; 30% showed arthritis.
- 14/20 excellent results; 2/20 poor results.
Conclusions:
- Closed reduction is generally effective for subtalar dislocations.
- Satisfactory outcomes are expected with prompt treatment.
- Long-term sequelae like arthritis are common but often asymptomatic.