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Lateral Subtalar Joint Dislocation

A Case with Calcaneal Fracture

David B. Randall, DPM ^* and Anthony Jon Ferretti, DO 

^* Podiatric Surgical Residency Program, Millcreek Community Hospital, Erie, PA. Dr. Randall is now with the Department of Surgery, WW Hastings Indian Hospital, Tahlequah, OK.
Department of Surgery and Orthopedics, Lake Erie College of Osteopathic Medicine, Erie, PA; Millcreek Community Hospital, Erie, PA.

Corresponding author: David B. Randall, DPM, Department of Surgery, WW Hastings Indian Hospital, 100 S Bliss, Tahlequah, OK 74464.

Abstract

Subtalar joint dislocation is a relatively rare injury, with lateral dislocation occurring less frequently than medial dislocation. Associated fractures alter the treatment plan and the prognosis, but they are often missed on plain film radiographs. A brief review of the anatomy, pathomechanics, treatment, prognosis, and complications of subtalar joint dislocation is presented. An interesting case of lateral subtalar joint dislocation with an associated calcaneal fracture not evident on plain film radiographs but delineated with computed tomography is presented. (J Am Podiatr Med Assoc 94(1): 65-69, 2004)