Ülgen Nuri Koray, Gencer Batuhan, Yeni Teoman Bekir, Özgür Doğan
Sincan Training and Research Hospital, Ankara, Turkey.
Marmara University Pendik Training and Research Hospital, Istanbul, Turkey.
Acta Chir Orthop Traumatol Cech. 2025 Jun;92(2):114-117. doi: 10.55095/achot2025/001.
Isolated subtalar dislocations constitute 1% of all dislocations and are extremely rare. They frequently occur as a result of high-energy trauma. Dislocations are classified based on the direction of the dislocation, with 80% being medial. Closed reduction under anesthesia without delay is the optimal treatment method. In our case, we present an extremely rare instance of an isolated lateral subtalar dislocation resulting from a low-energy injury. Although isolated subtalar dislocations are frequently reduced with closed reduction, open reduction was necessary in our case. The structure obstructing reduction in lateral dislocations is often reported to be the tibialis posterior tendon. During open reduction, we identified and documented the tibialis posterior tendon as the obstructing structure. We have also discussed the post-reduction follow-up protocol.
孤立性距下关节脱位占所有脱位的1%，极为罕见。它们常因高能量创伤而发生。脱位根据脱位方向进行分类，其中80%为内侧脱位。在麻醉下立即进行闭合复位是最佳治疗方法。在我们的病例中，我们呈现了一例因低能量损伤导致的极为罕见的孤立性外侧距下关节脱位。尽管孤立性距下关节脱位通常通过闭合复位进行复位，但在我们的病例中需要进行切开复位。据报道，外侧脱位复位受阻的结构通常是胫后肌腱。在切开复位过程中，我们识别并记录了胫后肌腱作为阻碍结构。我们还讨论了复位后的随访方案。
