World Journal of
Pharmaceutical and Life Sciences

CLOSED MEDIAL TOTAL SUBTALAR JOINT DISLOCATION: A CASE REPORT

Hamza Madani*, Hamza Betmi, Naoufel Boutiyeb, Ahmad Bennani, Hicham Ait Benali and Mohammed Shimi

ABSTRACT

A subtalar dislocation is a total loss of contact between the talocalcaneal and talonavicular joints, in which the calcaneus and navicular bones are displaced, while the talus retains its normal position within the ankle mortise. They are considered rare orthopedic injuries, affecting roughly 1% of all traumatic foot injuries. They are classified into four types: medial, lateral, anterior and posterior. Medial dislocation is the most frequent type, typically caused by inversion injury, they can be associated with other fractures. Clinical examination, the medial type, there is usually a ‘clubfoot’ appearance with the hindfoot in varus, and the forefoot adducted and supinated, and the talar head may be palpable laterally. Treatment typically involves immediate closed reduction under anesthesia, postreduction CT scan to provide secondary assessment for associated injuries, and cast immobilization for 4 weeks. We report the case of a 43-year-old man who presented with a closed medial subtalar dislocation treated orthopedically with a good functional result.

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