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Foot and Ankle Clinics Sep 2018
Topics: Arthrodesis; Arthroscopy; Biomechanical Phenomena; Fractures, Bone; Humans; Joint Instability; Subtalar Joint; Talus
PubMed: 30097088
DOI: 10.1016/j.fcl.2018.05.001 -
Foot and Ankle Clinics Dec 2022A triple arthrodesis is comprised of subtalar, talonavicular, and calcaneocuboid joints arthrodesis. A pantalar arthrodesis is triple arthrodesis combined with... (Review)
Review
A triple arthrodesis is comprised of subtalar, talonavicular, and calcaneocuboid joints arthrodesis. A pantalar arthrodesis is triple arthrodesis combined with tibiotalar arthrodesis. The goal of the procedure is to obtain a correction of deformity and achieve a plantigrade, functional, painless, stable, weightbearing foot that can be used to ambulate. This is done by creating an osseous continuity across the ankle, subtalar, and talonavicular, and calcaneocuboid joints. There are several approaches and fixation strategies that result in successful clinical union and should be chosen to match the clinical situation. Modern techniques result in high rates of union and pain relief.
Topics: Humans; Subtalar Joint; Arthrodesis; Tarsal Joints; Ankle Joint; Weight-Bearing
PubMed: 36368803
DOI: 10.1016/j.fcl.2022.08.002 -
Clinics in Podiatric Medicine and... Jul 2023Subtalar arthroscopy is being more commonly utilized by surgeons who perform foot and ankle arthroscopy. The joint can be entered from an anterior lateral or posterior... (Review)
Review
Subtalar arthroscopy is being more commonly utilized by surgeons who perform foot and ankle arthroscopy. The joint can be entered from an anterior lateral or posterior approach. There is unique pathology in the joint that can be repaired through an arthroscopic approach.
Topics: Humans; Arthroscopy; Subtalar Joint; Lower Extremity; Ankle Joint
PubMed: 37236681
DOI: 10.1016/j.cpm.2023.03.001 -
Foot and Ankle Clinics Sep 2018The subtalar joint can be altered in its anatomy and biomechanical behavior. It is important to know how to assess the talar declination angle in order to assess the... (Review)
Review
The subtalar joint can be altered in its anatomy and biomechanical behavior. It is important to know how to assess the talar declination angle in order to assess the deformity at the subtalar joint. Consider a straight posterior approach to the subtalar joint and remain liberal in the use of z-shaped Achilles tendon lengthening. A structural bone graft should be used to elevate the talus. Positioning screws should be used to lock the construct.
Topics: Achilles Tendon; Arthrodesis; Bone Screws; Bone Transplantation; Calcaneus; Humans; Subtalar Joint; Talus
PubMed: 30097087
DOI: 10.1016/j.fcl.2018.04.008 -
Journal of the American Academy of... Dec 2021Subtalar dislocations are uncommon injuries that involve disruption of the talocalcaneal and talonavicular joints. Whereas medial subtalar dislocations are usually...
Subtalar dislocations are uncommon injuries that involve disruption of the talocalcaneal and talonavicular joints. Whereas medial subtalar dislocations are usually caused by low-energy mechanisms and are reducible by closed means, lateral subtalar dislocations occur due to high-energy trauma, have associated foot injuries, and may require open reduction. Good outcomes can be expected for low-energy medial dislocations, whereas high-energy dislocations have guarded outcomes. Hindfoot deformity and chronic instability can result from nonanatomic reduction and inadequate stabilization. Arthrosis of the subtalar joint can occur despite anatomic reduction and is attributable to the cartilage damage at the time of injury.
Topics: Foot; Foot Injuries; Humans; Joint Dislocations; Open Fracture Reduction; Subtalar Joint
PubMed: 34936582
DOI: 10.5435/JAAOSGlobal-D-21-00295 -
Journal of Orthopaedic Surgery (Hong... 2023Subtalar instability is a confusing yet important condition in patients with lateral ankle instability. The author will explore subtalar kinematics, and how they are...
Subtalar instability is a confusing yet important condition in patients with lateral ankle instability. The author will explore subtalar kinematics, and how they are closely related to the joint stability of the subtalar joint, both with respect to its intrinsic ligaments and its extrinsic ligaments. As subtalar instability is difficult to diagnose, this article will provide readers with a better understanding of its clinical presentation. Discussions will also include useful radiographic modalities and the most recent evidence regarding their accuracy. The last section discusses surgical options and what the readers need to know in order to make a decision.
Topics: Humans; Ligaments; Joint Instability; Subtalar Joint; Biomechanical Phenomena; Ankle Joint; Ligaments, Articular
PubMed: 37449802
DOI: 10.1177/10225536231182350 -
Foot and Ankle Clinics Jun 2015Subtalar instability is a common clinical entity. Clinicians should have a high index of suspicion of this diagnosis in patients who have been diagnosed with chronic... (Review)
Review
Subtalar instability is a common clinical entity. Clinicians should have a high index of suspicion of this diagnosis in patients who have been diagnosed with chronic lateral ankle instability but have failed standard management and have continued pain in the sinus tarsi. As with ankle instability, nonoperative management is the initial mainstay of treatment. Operative management includes ligamentous reconstruction of key lateral stabilizers of the subtalar joint. Future research on this subject should be focused at improving diagnosis and recognition of this entity.
Topics: Humans; Joint Dislocations; Joint Instability; Subtalar Joint
PubMed: 26043241
DOI: 10.1016/j.fcl.2015.02.007 -
British Journal of Hospital Medicine... Feb 2023Although uncommon, subtalar joint dislocations remain a frequently missed orthopaedic emergency. Detailed soft tissue and neurovascular assessment is important and these... (Review)
Review
Although uncommon, subtalar joint dislocations remain a frequently missed orthopaedic emergency. Detailed soft tissue and neurovascular assessment is important and these should be documented as appropriate. Failure of urgent reduction might lead to increased risk of conversion to an open injury as a result of pressure necrosis of the overlying skin, risk of talar avascular necrosis and risk of neurovascular compromise. A computed tomography scan is needed in all cases following successful closed or open reduction to identify associated occult foot and ankle fractures. The goal of treatment is to reduce the risk of soft tissue and neurovascular compromise and achieve a supple, painless foot. This article highlights the importance of early identification of this injury and institution of appropriate management according to the latest evidence, to reduce the risk of complications and lead to the best outcomes.
Topics: Humans; Joint Dislocations; Subtalar Joint; Ankle Fractures; Lower Extremity; Necrosis
PubMed: 36848162
DOI: 10.12968/hmed.2022.0211 -
European Journal of Trauma and... Dec 2015Subtalar joint instability may frequently be overlooked and erroneously be integrated under the diagnosis of ankle joint instability. It was the scope of this review to... (Review)
Review
PURPOSE
Subtalar joint instability may frequently be overlooked and erroneously be integrated under the diagnosis of ankle joint instability. It was the scope of this review to characterize the present state-of-art with regard to the adequate diagnosis and treatment.
METHODS
While the clinical picture is mostly inconclusive for subtalar joint instability, a high degree of suspicion for this diagnosis is needed to employ weight-bearing x-rays, standardized stress radiography, CT scanning and MRI to further elucidate the etiopathology
RESULTS
Geometrical reasons as hindfoot deformities, isolated or combined injuries or instabilities in conjunction with the ankle ligament complex do exist which should be differentiated in detail and classified to indicate the adequate treatment. Treatment of acute lesions is simple and effective. A certain percentage of the patients with chronic subtalar instability is incorrectly labeled with the diagnosis of a sinus tarsi syndrome.
CONCLUSION
Subtalar joint arthroscopy for reconfirmation of the correct diagnosis conjoined with restoration of physiological hindfoot alignment and a preferably anatomical ligamentous reconstruction provide the basis for a good functional recovery.
Topics: Acute Disease; Arthroscopy; Biomechanical Phenomena; Bone Screws; Chronic Disease; Fracture Fixation; Humans; Joint Instability; Ligaments, Articular; Magnetic Resonance Imaging; Orthotic Devices; Physical Examination; Rupture; Subtalar Joint; Tomography, X-Ray Computed; Weight-Bearing
PubMed: 26510942
DOI: 10.1007/s00068-015-0588-7 -
Foot and Ankle Clinics Jun 2022Arthrodesis of the ankle and/or tibiotalocalcaneal joints is a reliable treatment of arthritic conditions of the ankle and hindfoot. It may be complicated by infection,... (Review)
Review
Arthrodesis of the ankle and/or tibiotalocalcaneal joints is a reliable treatment of arthritic conditions of the ankle and hindfoot. It may be complicated by infection, nonunion, malunion, fracture, wound complications, nerve injury, and adjacent joint degeneration. These complications may be addressed with a variety of techniques but should be done so carefully so as not to lead to more complex problems. A thorough work-up and discussion should take place prior to any surgical intervention and treatment. Several cases are presented to illustrate revision arthrodesis techniques and the management of these complications.
Topics: Ankle; Ankle Joint; Arthrodesis; Humans; Osteoarthritis; Retrospective Studies; Subtalar Joint
PubMed: 35680292
DOI: 10.1016/j.fcl.2021.11.020