Abstract
BACKGROUND Subtalar dislocation occurs through disruption of two separate bony articulations: the talonavicular and talocalcaneal joints. It commonly results from motor vehicle accidents, falls from a height, sporting activities, jumping, running, or twisting. The majority of dislocations can be reduced in a closed manner with appropriate sedation. Failed reduction by closed means occurs in 10–20% of cases of medial and lateral dislocations. A number of anatomic explanations exist for failed closed reduction, such as ‘buttonholing’ of the talar head through the extensor digitorum brevis, extensor retinaculum, talonavicular ligaments or joint capsule. We present a novel reduction technique using skeletal traction to assist in closed reduction.
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Schedule a callMore From: Annals of the Royal College of Surgeons of England
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