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Archives of Orthopaedic and Trauma Surgery

, Volume 131, Issue 6, pp 759–763 | Cite as

Accuracy of anterolateral versus posterolateral subtalar injection

  • Tanja Kraus
  • Nima Heidari
  • Paul Borbas
  • Hans Clement
  • Wolfgang Grechenig
  • Annelie-Martina Weinberg
Orthopaedic Surgery

Abstract

Introduction

Injections into the subtalar joint may be performed for diagnostic or therapeutic reasons. The anterolateral approach is most commonly utilised for this purpose. We evaluated the success of an intra-articular puncture by using the anterolateral in comparison to the posterolateral approach.

Methods

Sixty-eight cadaver adult feet were used for performing injections into the subtalar joint without fluoroscopic or ultrasound guidance. Methylene blue dye was infiltrated into 34 of the 68 subtalar joints through an anterolateral approach and into 34 through an posterolateral approach. An arthrotomy was then performed to confirm the placement of the dye within the joint.

Results

Twenty-three of the anterolateral injections (67.6%) were successful as were 31 of 34 (91.2%) of the posterolateral. The posterolateral approach showed a greater accuracy with a statistically significance (p = 0.016).

Conclusion

Unintended peri-articular injection can cause complications and an unsuccessful aspiration can delay diagnosis. Comparing the anterolateral to the posterolateral approach with regards to the rate of successful intra-articular puncture of the subtalar joint without the use of imaging there is a greater accuracy with the PL with statistically significance.

Keywords

Intraarticular Aubtalar Injection Anterolateral Posterolateral Subtalar joint Injection Approach Non-guided 

Notes

Acknowledgments

The authors would like to acknowledge the valuable contributions of Juergen Fechter and Dr. Bernhard Leipold for the assistance in statistics and in the preparation of the photos for this publication.

Conflict of interest

None.

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Tanja Kraus
    • 1
  • Nima Heidari
    • 2
  • Paul Borbas
    • 3
    • 4
  • Hans Clement
    • 4
  • Wolfgang Grechenig
    • 4
  • Annelie-Martina Weinberg
    • 5
  1. 1.Pediatric Orthopedic Unit, Department of Pediatric SurgeryMedical University of GrazGrazAustria
  2. 2.Royal London Rotation, Royal London HospitalLondonUK
  3. 3.Division of General Surgery, Department of SurgeryMedical University of GrazGrazAustria
  4. 4.Department of TraumatologyMedical University of GrazGrazAustria
  5. 5.Department of Pediatric SurgeryMedical University of GrazGrazAustria

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