Summary
Peritalar dislocation is an uncommon injury and was first described after flying accidents. Ten patients are reported who sustained this injury after minor trauma. They were treated by closed reduction and immobilisation of the ankle in a plaster cast for between 10 and 12 weeks, the first 2 weeks being non-weightbearing.
No degenerative changes were detectable in the subtalar joints one year after injury. Early reduction and immobilisation may be significant in reducing the incidence of degenerative arthritis in the subtalar joint.
Résumé
La luxation de l'astragale est une lésion peu fréquente, qui a été initialement décrite après des accidents aériens. Les 10 cas qui sont rapportés ici ont succédè à des traumatismes mineurs. Ils ont été traités par réduction° orthopédique et immobilisés dans un plâtre pendant dix à douze semaines, l'appui n'étant pas autorisé durant les 15 premiers jours.
Il n'y avait aucune altération décelable de l'articulation sous-astragalienne un an après l'accident. La réduction précoce et l'immobilisation paraissent susceptibles de diminuer la fréquence de l'arthrose post-traumatique de la sous-astragalienne.
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Hörer, D.I., Fishman, J. The early treatment of peritalar dislocation. International Orthopaedics 7, 263–266 (1984). https://doi.org/10.1007/BF00266838
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DOI: https://doi.org/10.1007/BF00266838