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Case Reports
Lateral subtalar dislocation associated with bimalleolar fracture: case report and literature review.
- Xavier Conesa, Víctor Barro, David Barastegui, Lledó Batalla, Jordi Tomás, and Vicente Molero.
- Department of Orthopedics and Traumatology, Hospital Municipal de Badalona, Barcelona, Spain. xaviconesa@hotmail.com
- J Foot Ankle Surg. 2011 Sep 1; 50 (5): 612-5.
AbstractSubtalar dislocation is an uncommon injury that affects the talocalcaneal and talonavicular joints, with the tibiotalar and calcaneocuboid joints remaining intact. The 4 types of subtalar dislocation are medial, lateral, anterior, and posterior, although the latter 2 are rare. These injuries-especially lateral dislocation-occur as a result of high-energy trauma. Medial dislocation is the most common type, and lateral dislocation is associated with osteochondral fractures of the talus and calcaneus, as well as with open injuries; hence, its worse prognosis. We report the case of a 62-year-old woman diagnosed with lateral subtalar dislocation accompanied by an ipsilateral bimalleolar fracture after a fall downstairs. She underwent emergency reduction of the dislocation under sedation. Surgical treatment of the bimalleolar fracture was delayed 9 days to avoid cutaneous complications. This is the first report of a subtalar dislocation accompanied by a bimalleolar fracture.Copyright © 2011 American college of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
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