Maybury Alexander, Isenberg Taylor
Morristown Medical Center, Department of Emergency Medicine, Morristown, NJ.
J Educ Teach Emerg Med. 2024 Jul 31;9(3):V5-V9. doi: 10.21980/J8SS8P. eCollection 2024 Jul.
Subtalar dislocations of the talonavicular and talocalcaneal joints are rare, accounting for approximately one percent of all dislocations.1 These dislocations are typically the result of a high energy mechanism and present a challenge during reduction attempts. We present the case of a male in his early 20's who presented to the emergency department after a motorcycle accident with right foot and ankle pain and obvious deformity. Emergent X-ray and immediate attempt at reduction are of utmost importance with these dislocations. After multiple failed attempts at reduction in the ED, this patient was taken to the operating room for an open reduction with podiatry. This case report reviews the pathophysiology and management of this rare injury including nerve blocks and reduction techniques.
Subtalar dislocation, trauma, podiatry, joint reduction, nerve blocks, local anesthesia.
距下关节（包括距舟关节和距跟关节）脱位较为罕见，约占所有脱位的1%。这些脱位通常由高能机制导致，复位尝试时颇具挑战。我们报告一例20岁出头男性，在摩托车事故后因右足和踝关节疼痛及明显畸形就诊于急诊科。对于此类脱位，紧急X线检查及立即尝试复位至关重要。在急诊科多次复位尝试失败后，该患者被送往手术室接受足病学医生进行的切开复位。本病例报告回顾了这种罕见损伤的病理生理学及治疗方法，包括神经阻滞和复位技术。
距下关节脱位、创伤、足病学、关节复位、神经阻滞、局部麻醉。
