Abstract

Subtalar joint ligament sprains are often missed in the setting of chronic inversion ankle injuries. This can lead to pain and instability of the subtalar joint. In many cases, without proper identification, the patient may eventually undergo an unnecessary subtalar joint fusion rather than a ligament reconstruction. Achilles, peroneus brevis, and gracilis tendon grafts have been described to repair subtalar ligament instability in the literature.

Highlights

  • In an acute inversion ankle injury, the most commonly injured structure is the anterior talofibular ligament (ATFL)

  • If subtalar joint instability is correctly identified it can be treated with a joint sparing reconstructive ligament procedure. It has been reported in the literature that the subtalar joint has been stabilized with achilles, peroneus brevis and gracilis tendon allografts and autografts. This is a unique case study of a patient who underwent a subtalar joint ligament stabilization with an exogenous ligament repair technique using non-absorbable suture made of UltraHigh Molecular Weight Polyethylene (UHMWPE) and suture anchors

  • This case study discusses our surgical treatment of subtalar joint instability using an exogenous suture anchor construct

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Summary

Introduction

In an acute inversion ankle injury, the most commonly injured structure is the anterior talofibular ligament (ATFL). Up to 75% to 80% of recurrent injuries may present with chronic subtalar joint instability [1,2]. Others suggest the primary stabilizers of the subtalar joint are the interosseous talocalcaneal ligament (ITCL) and cervical ligament. There is debate on which of these two ligaments is the primary and secondary stabilizer of the subtalar joint [3].

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