Giannoulis Dionisios, Papadopoulos Dimitrios V, Lykissas Marios G, Koulouvaris Panagiotis, Gkiatas Ioannis, Mavrodontidis Alexandros
Dionisios Giannoulis, Dimitrios V Papadopoulos, Marios G Lykissas, Ioannis Gkiatas, Alexandros Mavrodontidis, Department of Orthopedics, University Hospital of Ioannina, 45332 Ioannina, Epirus, Greece.
World J Orthop. 2015 Apr 18;6(3):374-9. doi: 10.5312/wjo.v6.i3.374.
Isolated subtalar dislocations are unusual injuries due to the inherent instability of the talus. Subtalar dislocations are frequently associated with fractures of the malleoli, the talus, the calcaneus or the fifth metatarsal. Four types of subtalar dislocation have been described according to the direction of the foot in relation to the talus: medial, lateral posterior and anterior. It has been shown that some of these dislocations may spontaneously reduce. A rare case of a 36-year-old male patient who sustained a closed medial subtalar dislocation without any associated fractures of the ankle is reported. The patient suffered a pure closed medial subtalar dislocation that is hardly reported in the literature. Six months after injury the patient did not report any pain, had a satisfactory range of motion, and no signs of residual instability or early posttraumatic osteoarthritis. The traumatic mechanism, the treatment options, and the importance of a stable and prompt closed reduction and early mobilization are discussed.
由于距骨本身的不稳定性，单纯距下关节脱位是一种罕见的损伤。距下关节脱位常伴有踝关节、距骨、跟骨或第五跖骨骨折。根据足部相对于距骨的方向，已描述了四种类型的距下关节脱位：内侧、外侧、后脱位和前脱位。研究表明，其中一些脱位可能会自行复位。本文报道了一例36岁男性患者，发生闭合性内侧距下关节脱位，踝关节无任何相关骨折。该患者发生了单纯闭合性内侧距下关节脱位，这在文献中鲜有报道。受伤6个月后，患者未诉任何疼痛，活动范围良好，无残留不稳定或创伤后早期骨关节炎迹象。本文讨论了创伤机制、治疗选择以及稳定迅速的闭合复位和早期活动的重要性。
