Gleneagles Medical Centre, Singapore, Singapore.
Mount Elizabeth Novena Hospital, Singapore, Singapore.
J Orthop Surg (Hong Kong). 2023 May-Aug;31(2):10225536231182350. doi: 10.1177/10225536231182350.
Subtalar instability is a confusing yet important condition in patients with lateral ankle instability. The author will explore subtalar kinematics, and how they are closely related to the joint stability of the subtalar joint, both with respect to its intrinsic ligaments and its extrinsic ligaments. As subtalar instability is difficult to diagnose, this article will provide readers with a better understanding of its clinical presentation. Discussions will also include useful radiographic modalities and the most recent evidence regarding their accuracy. The last section discusses surgical options and what the readers need to know in order to make a decision.
距下关节不稳定是外侧踝关节不稳定患者中一种令人困惑但又十分重要的病症。作者将探讨距下关节的运动学,以及它们与距下关节的关节稳定性之间的密切关系,包括其内在韧带和外在韧带。由于距下关节不稳定很难诊断,本文将帮助读者更好地理解其临床表现。讨论还将包括有用的影像学方式以及关于其准确性的最新证据。最后一部分讨论了手术选择,以及读者为做出决策需要了解的内容。