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Pathologic anatomic variations in subtalar anatomy

P E Scranton, J E McDermott

Foot & Ankle International

|August 1, 1997

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Symptomatic subtalar joint variations, including abnormal posterior talar processes and coalitions, often remain asymptomatic until trauma. Management strategies for these congenital deformities are reviewed.

Area of Science:

Orthopedic Surgery
Podiatry
Radiology

Background:

Subtalar joint variations can be congenital or pathologic.
These variations may not cause symptoms until a traumatic event.
Adults with these variations are often unaware of their condition.

Purpose of the Study:

To present cases of symptomatic subtalar joint variations.
To review the management of these congenital deformities.
To highlight the role of trauma in symptom onset.

Main Methods:

Case series of thirteen patients.
Review of nonoperative and operative management strategies.
Analysis of patient demographics and injury mechanisms.

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Main Results:

Four patients had abnormal posterior talar processes.
Five patients had asymmetric subtalar joint development.
Four patients had congenital complete subtalar coalitions.

Conclusions:

Subtalar joint variations can present symptomatically after trauma.
Both nonoperative and operative treatments are viable options.
Early diagnosis and appropriate management are crucial for optimal outcomes.