Jerome J Terrence Jose
Department of Orthopedics, St. Stephen's Hospital, Tiz Hazari, Delhi 54, India.
Foot Ankle Surg. 2008;14(1):36-9. doi: 10.1016/j.fas.2007.08.002. Epub 2007 Oct 17.
Subtalar dislocation is the simultaneous dislocation of the distal articulations of the talus at both the talocalcaneal and talonavicular joints. It can occur in any direction and always produce significant deformity. Most common is the medial dislocation. Less common presentations are lateral, anterior and posterior dislocations. These dislocations are associated with osteochondral fractures. Closed reduction and immobilisation remains the mainstay of treatment. Proper radiographs and CT scan confirm the post-reduction alignment stability of subtalar joints and intraarticular fracture fragments. We report a case of antero-lateral subtalar dislocation with no osteochondral fracture fragments in a 28-year-old man.
距下关节脱位是距骨在距跟关节和距舟关节处的远端关节同时发生脱位。它可向任何方向发生，且总会导致明显畸形。最常见的是内侧脱位。较少见的表现为外侧、前方和后方脱位。这些脱位常伴有骨软骨骨折。闭合复位和固定仍是主要的治疗方法。合适的X线片和CT扫描可确认距下关节复位后的对线稳定性及关节内骨折碎片情况。我们报告一例28岁男性的前外侧距下关节脱位，无骨软骨骨折碎片。
