Rare case of pure medial subtalar dislocation in a basketball player
Abdellatif Benabbouha, Nacer Ibou
The Pan African Medical Journal. 2016;23:106. doi:10.11604/pamj.2016.23.106.8848

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Rare case of pure medial subtalar dislocation in a basketball player

Cite this: The Pan African Medical Journal. 2016;23:106. doi:10.11604/pamj.2016.23.106.8848

Received: 12/01/2016 - Accepted: 03/02/2016 - Published: 16/03/2016

Key words: Dislocation, isolated, medial, subtalar

© Abdellatif Benabbouha et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/23/106/full

Corresponding author: Abdellatif Benabbouha, Service de Chirurgie Orthopédique et Traumatologique I, Hôpital Militaire d’Instruction Mohamed V, Rabat, Maroc (benbouha.abdel@yahoo.fr)


Rare case of pure medial subtalar dislocation in a basketball player

Abdellatif Benabbouha1,&, Nacer Ibou1

 

1Service de Chirurgie Orthopédique et Traumatologique I, Hôpital Militaire d’Instruction Mohamed V, Rabat, Maroc

 

 

&Corresponding author
Abdellatif Benabbouha, Service de Chirurgie Orthopédique et Traumatologique I, Hôpital Militaire d’Instruction Mohamed V, Rabat, Maroc

 

 

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Pure acute medial subtalar dislocation without any fractures is very rare and hardly reported in the literature, it represents approximately 1% of all dislocations. This injury is defined as simultaneous dislocation of both thetal on avicular and the talocal caneal joints without a major fracture. It is not commonly seen as a sports injury because it requires transfer of a high energy.Optimal management of subtalar dislocations is immediate closed reduction with procedural sedation. We report a very rare case of a closed subtalar dislocation without any related fractures. A 22 year old male was admitted to the emergency department with pain and ankle deformity following an inversion injury during a basketball game. In his physical examination, the left foot was displaced medially and talus was prominent dorso laterally (A). However, there was not any neurovascular compromise. The X-ray examination revealed medial subtalar dislocation without associated fractures (B, C). A computed tomography scan with 3D reconstruction confirmed the isolated dislocation. Under procedural sedation the reduction was successfully performed by an external maneuver (D). The ankle was immobilized in a short leg cast for 8 weeks. At 24 months follow-up, the patient was autonomous and active without instability at the left ankle.

 

 

Figure 1: (A) Clinical appearance of a medial subtalar dislocation of the foot; (B, C) radiographs of the left ankle demonstrating a medial subtalar dislocation; (D) radiographs after reduction and immobilization with a posterior splint

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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