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The Subtalar Joint: It Is More Complicated Than You Think

April 22, 2015

Understanding the subtalar joint is extremely important in order to grasp the complexity of the foot. The anatomy and biomechanics are crucial to the function of the hindfoot, ankle, midfoot, and even forefoot. This issue provides expertise in areas ranging from anatomy, radiology, biomechanics, congenital and acquired conditions, and treatment options of the subtalar joint.

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A Complication of Posterior Malleolar Fracture Fixation

April 21, 2015

We present a case of tibial nerve impingement by an anteroposterior screw inserted for stabilization of a posterior malleolar fracture. This specific complication has not previously been described in published studies, although numerous reports have described various forms of peripheral nerve entrapment.

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Subtalar Instability

April 18, 2015

Subtalar instability is a common clinical entity. Clinicians should have a high index of suspicion of this diagnosis in patients who have been diagnosed with chronic lateral ankle instability but have failed standard management and have continued pain in the sinus tarsi. As with ankle instability, nonoperative management is the initial mainstay of treatment.

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Subtalar Coalitions in the Adult

April 11, 2015

Tarsal coalitions, while relatively uncommon, are typically identified in adult patients during an evaluation for ankle instability, sinus tarsus pain, and/or pes planovalgus. The true incidence of tarsal coalition is unknown with estimates ranging from 1% to 12% of the overall population. The most common area of involvement of the subtalar joint is the middle facet, and heightened awareness should be present in adult patients with limited motion of the subtalar joint

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The Spectrum of Indications for Subtalar Joint Arthrodesis

April 11, 2015

The preferred surgical approaches to subtalar fusion are the sinus tarsi incision, the medial incision, and the extensile lateral approach. The choice of one over the other depends on the underlying pathology, previous surgeries, associated foot pathologies, soft tissue quality, and medical comorbidities. This article reports on several cases of subtalar joint fusion.

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Imaging of the Subtalar Joint

April 4, 2015

Imaging of the subtalar joint can be challenging because of its complex planar anatomy. This article reviews the anatomy and common anatomic variants as seen with different imaging techniques.

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Sports Related Foot and Ankle Injuries

April 1, 2015

This issue of Clinics in Podiatric Medicine and Surgery is focused on the diagnosis and treatment of sports-related foot and ankle injuries. A variety of topics from acute osseous and soft tissue injuries to overuse lower extremity injuries and rehabilitation are very well covered by our guest editor, Dr Langer, and invited authors. Special attention is emphasized in treating the competitive athlete as well as the physically active older individuals and aging athletes.

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Subtalar Dislocations

March 30, 2015

Subtalar dislocations make up 1-2% of all dislocations, about 75% of them being medial dislocations. Treatment consists of early reduction under adequate sedation

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Medial Approach to the Subtalar Joint

March 30, 2015

The medial approach to the subtalar joint allows good visualization of the articular surfaces. Compared with the lateral approach, advantages are found particularly in flatfoot correction, in which the single-incision technique can be used for corrective fusions of rigid flatfoot deformity

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Assessing Diagnostic Tests I: You Can’t Be Too Sensitive

March 19, 2015

Clinicians and patients are always interested in less invasive, cheaper, and faster diagnostic tests. When introducing such a test, physicians must ensure that it is reliable in its diagnoses and does not commit errors

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