Subtalar dislocations:Mechanisms,clinical presentation and methods of reduction  

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作  者:Manikandar Srinivas Cheruvu Sanjay Narayana Murthy Raheel Shakoor Siddiqui 

机构地区:[1]Department of Trauma and Orthopaedics,Royal Stoke University Hospital NHS Trust,Stoke-On-Trent ST46QG,United Kingdom [2]Department of Orthopaedics,Birmingham Heartlands Hospital,Birmingham Birmingham Heartlands Hospital,United Kingdom

出  处:《World Journal of Orthopedics》2023年第6期379-386,共8页世界骨科杂志(英文版)

摘  要:Subtalar joint is a complex joint in hindfoot formed by the talus superiorly and the calcaneus and navicular inferiorly.Subtalar dislocations are high-mechanism injuries,which are caused by simultaneous dislocation of both talonavicular and talocalcaneal joints,without major fracture of the talus.They are usually classified as medial(most common),lateral,anterior and posterior dislocations,based on the position of foot in relation to talus and the indirect forces that have been applied to cause this significant injury.They are usually diagnosed by X rays,but computed tomography and magnetic resonance imaging can be used to identify associated intra-articular fractures and peri-talar soft tissue injuries respectively.Majority being closed injuries,can be managed in ED by closed reduction and cast immobilisation,but if they are open,have poor outcomes.Complications that ensue open dislocations are post-traumatic arthritis,instability and avascular necrosis.

关 键 词:JOINT SUBTALAR Joint dislocations FLATFOOT CLUBFOOT TALUS 

分 类 号:R684.7[医药卫生—骨科学]

 

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