Treatment of closed subtalar joint dislocation: A case report and literature review

• Main Authors: Hao-Yu Wang, Bei-Bei Wang, Ming Huang, Xiao-Tao Wu
• Format: Article
• Language: English
• Published: Elsevier 2020-12-01
• Series: Chinese Journal of Traumatology
• Subjects: Subtalar joint; Ankle injuries; Dislocation; Trauma
• Online Access: http://www.sciencedirect.com/science/article/pii/S1008127520301772

Subtalar dislocation is defined as a separation of the talocalcaneal and talonavicular articulations, commonly caused by high-energy mechanisms, which include falls from height, motor vehicle crashes, and twisting leg injuries. The dislocations are divided into medial, lateral, anterior, and posterior types on the basis of the direction in which the distal part of the foot has shifted in relation to the talus. The most common type is medial dislocation resulted from inversion injury. Subtalar dislocation may accompany with other fractures. Physical examination must be performed carefully to assess for neurovascular compromise. Most of the subtalar dislocations can be treated with closed reduction under sedation. If this is not possible, open reduction without further delay should be conducted. After primary treatment, X-ray and computed tomography scan should be performed to evaluate the alignment and the fractures. We report a 37-year-old male patient sustained a subtalar dislocation without any bony injury when he was playing football. The patient was successfully treated by closed reduction, and a good alignment was observed at the last follow-up. The pathogenesis and treatment method of this case were analyzed, and the related literature were reviewed, which provided a reference for future clinical treatment.