Missed and associated injuries after subtalar dislocation: The role of CT

Christopher Bibbo, Sheldon S. Lin, Nicholas Abidi, Wayne Berberian, Mark Grossman, Greg Gebauer, Fred F. Behrens

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

Subtalar joint dislocation (STJD) is an uncommon injury, but carries with it a potential for significant functional disability. We hypothesized that a significant number of injuries associated with subtalar joint dislocation may be unrecognized by plain radiographic examination. Therefore, we reviewed the records of all STJDs over a three-year period, identifying nine cases. The majority of injuries occurred in men (78%) with a mean age of 29 years. Overall, the mean age at injury was 32 years. The right lower extremity was most frequently injured (87.5%). Plain films initially diagnosed a STJ dislocation in all patients. A CT scan was performed in all cases. In 100% of patients, CT identified additional injuries missed on initial plain radiographs. In 44% of patient, new information gathered by CT dictated a change in treatment. Based on our findings, we conclude that CT is an invaluable tool to assess for associated injuries in STJ dislocation, and should be performed in all cases of STJ dislocation.

Original languageEnglish (US)
Pages (from-to)324-328
Number of pages5
JournalFoot and Ankle International
Volume22
Issue number4
DOIs
StatePublished - Apr 2001

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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