Hindfoot Sprains

  • Todd P. Pierce
  • Kimona Issa
  • Jason Schneidkraut


Hindfoot ligament sprains are quite rare and often seen as a repetitive microtrauma brought about by supination. Physical exam may reveal pain and swelling about the calcaneus; however, there may be no physical exam findings. Plain radiographs are often acceptable in diagnosing these injuries. Many of them may improve with nonoperative treatment modalities. However, if there is greater than 10° of angulation on varus stress views or a large bony fragment seen on plain radiograph, operative fixation may be required to restore appropriate walking gait. It is important to note that because of the rarity of these injuries, they have not been studied extensively for treatment outcomes.


Hindfoot sprain Subtalar joint 


  1. 1.
    Cromeens B, Patterson R, Sheedlo H, Motley TA, Stewart D, Fisher C, Suzuki S, Su F, Reeves R. Association of hindfoot ligament tears and osteochondral lesions. Foot Ankle Int. 2011;32(12):1164.CrossRefGoogle Scholar
  2. 2.
    Keefe DT, Haddad SL. Subtalar instability. Etiology, diagnosis, and management. Foot Ankle Clin. 2002;7(3):577.CrossRefGoogle Scholar
  3. 3.
    Pisani G. Chronic laxity of the subtalar joint. Orthopedics. 1996;19(5):431.PubMedGoogle Scholar
  4. 4.
    Meyer JM, Garcia J, Hoffmeyer P, Fritschy D. The subtalar sprain. A roentgenographic study. Clin Orthop Relat Res. 1988;226:169.Google Scholar
  5. 5.
    Menetrey J, Fritschy D. Subtalar subluxation in ballet dancers. Am J Sports Med. 1999;27(2):143.CrossRefGoogle Scholar
  6. 6.
    van Dijk CN, Lim LS, Poortman A, Strubbe EH, Marti RK. Degenerative joint disease in female ballet dancers. Am J Sports Med. 1995;23(3):295.CrossRefGoogle Scholar
  7. 7.
    Jung HG, Kim TH. Subtalar instability reconstruction with an allograft: technical note. Foot Ankle Int. 2012;33(8):682.CrossRefGoogle Scholar
  8. 8.
    Andermahr J, Helling HJ, Maintz D, Monig S, Koebke J, Rehm KE. The injury of the calcaneocuboid ligaments. Foot Ankle Int. 2000;21(5):379.CrossRefGoogle Scholar
  9. 9.
    Magerkurth O, Knupp M, Ledermann H, Hintermann B. Evaluation of hindfoot dimensions: a radiological study. Foot Ankle Int. 2006;27(8):612.CrossRefGoogle Scholar
  10. 10.
    Arokoski JP, Jurvelin JS, Vaatainen U, Helminen HJ. Normal and pathological adaptations of articular cartilage to joint loading. Scand J Med Sci Sports. 2000;10(4):186.CrossRefGoogle Scholar
  11. 11.
    Main BJ, Jowett RL. Injuries of the midtarsal joint. J Bone Joint Surg Br. 1975;57(1):89.CrossRefGoogle Scholar
  12. 12.
    Tochigi Y, Yoshinaga K, Wada Y, Moriya H. Acute inversion injury of the ankle: magnetic resonance imaging and clinical outcomes. Foot Ankle Int. 1998;19(11):730.CrossRefGoogle Scholar
  13. 13.
    Fessell DP, Jacobson JA. Ultrasound of the hindfoot and midfoot. Radiol Clin N Am. 2008;46(6):1027.CrossRefGoogle Scholar
  14. 14.
    Mullen JE, O'Malley MJ. Sprains – residual instability of subtalar, Lisfranc joints, and turf toe. Clin Sports Med. 2004;23(1):97.CrossRefGoogle Scholar
  15. 15.
    Clanton TO. Instability of the subtalar joint. Orthop Clin North Am. 1989;20(4):583.PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Todd P. Pierce
    • 1
  • Kimona Issa
    • 1
  • Jason Schneidkraut
    • 2
  1. 1.Department of OrthopaedicsSeton Hall University, School of Health and Medical SciencesSouth OrangeUSA
  2. 2.Elite Orthopaedics and Sports MedicineWayneUSA

Personalised recommendations