BOOK
The Subtalar Joint, An issue of Foot and Ankle Clinics of North America, E-Book
(2018)
Additional Information
Book Details
Abstract
This issue of Foot and Ankle Clinics, guest edited by Dr. Normal Espinosa, will cover a number of important aspects of the Subtalar Joint in relation to foot and ankle surgery. Topics discussed in this issue include, but are not limited to: Anatomy of the subtalar joint; Biomechanics of the subtalar joint (including normal and pathologic); Open technique for in-situ subtalar fusion; Traumatic injury to the subtalar joint; subtalar instability; and Fractures of the lateral process of talus, among others.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
The Subtalar Joint | i | ||
Copyright | ii | ||
Contributors | iii | ||
CONSULTING EDITOR | iii | ||
EDITOR | iii | ||
AUTHORS | iii | ||
Editorial Advisory Board | v | ||
Contents | vii | ||
Preface: The Subtalar Joint | vii | ||
Anatomy of the Subtalar Joint | vii | ||
Subtalar Joint Biomechanics: From Normal to Pathologic | vii | ||
Traumatic Injury to the Subtalar Joint | vii | ||
Fractures of the Lateral Process of the Talus | viii | ||
Update on Subtalar Joint Instability | viii | ||
Arthroereisis: What Have We Learned? | viii | ||
Coalitions of the Tarsal Bones | viii | ||
Medial Approach to the Subtalar Joint | ix | ||
Open Technique for In Situ Subtalar Fusion | ix | ||
Subtalar Arthroscopic Fusion | ix | ||
Subtalar Distraction Arthrodesis | ix | ||
FOOT AND ANKLE CLINICS | x | ||
FORTHCOMING ISSUES | x | ||
December 2018 | x | ||
March 2019 | x | ||
June 2019 | x | ||
RECENT ISSUES | x | ||
June 2018 | x | ||
March 2018 | x | ||
December 2017 | x | ||
Preface: The Subtalar Joint | xi | ||
Anatomy of the Subtalar Joint | 315 | ||
Key points | 315 | ||
INTRODUCTION: GENERAL FEATURES | 315 | ||
TALOCALCANEONAVICULAR JOINT | 318 | ||
Articular Surfaces | 319 | ||
Talus | 319 | ||
Calcaneus | 320 | ||
Navicular bone | 321 | ||
Ligaments of the Talocalcaneonavicular Joint | 321 | ||
CANALIS AND SINUS TARSI | 327 | ||
Ligamentous System in the Canalis and Sinus Tarsi | 329 | ||
Vessels and Nerves of the Canalis and Sinus Tarsi | 333 | ||
TALOCALCANEAL JOINT | 333 | ||
FUNCTION FOLLOWS FORM: IMPLICATIONS ON SUBTALAR JOINT BIOMECHANICS | 335 | ||
SUMMARY | 336 | ||
REFERENCES | 336 | ||
Subtalar Joint Biomechanics | 341 | ||
Key points | 341 | ||
ANATOMY OF THE PERITALAR JOINT | 341 | ||
AXIS OF THE SUBTALAR/PERITALAR JOINT | 343 | ||
MIDTARSAL JOINT LOCKING MECHANISM | 344 | ||
JOINT KINETICS | 345 | ||
CONTACT CHARACTERISTICS OF THE SUBTALAR JOINT AFTER TRAUMA | 346 | ||
HINDFOOT VALGUS | 347 | ||
CAVUS, VARUS, AND DYNAMIC VARUS | 348 | ||
DYNAMIC VARUS | 348 | ||
SUMMARY | 350 | ||
REFERENCES | 350 | ||
Traumatic Injury to the Subtalar Joint | 353 | ||
Key points | 353 | ||
INTRODUCTION | 353 | ||
SUBTALAR DISLOCATIONS WITH PERIPHERAL TALAR AND CALCANEAL FRACTURES | 355 | ||
Etiology | 355 | ||
Diagnosis and Management | 355 | ||
Early reduction of subtalar dislocations | 356 | ||
Displaced lateral or posterior talar process fractures | 357 | ||
Talar head fractures | 358 | ||
Fractures of the sustentaculum tali | 358 | ||
Results and Complications | 358 | ||
CENTRAL TALAR FRACTURES WITH SUBTALAR JOINT INVOLVEMENT | 359 | ||
Etiology | 359 | ||
Diagnosis and Management | 359 | ||
Fractures of the talar neck and body | 360 | ||
Fractures of the posterior talar body | 361 | ||
Results and complications | 362 | ||
CALCANEAL FRACTURES WITH SUBTALAR JOINT INVOLVEMENT | 363 | ||
Etiology | 363 | ||
Diagnosis and Management | 363 | ||
Extensile lateral approach | 364 | ||
Sinus tarsi approach | 365 | ||
Fracture-dislocations of the calcaneus | 366 | ||
Results and Complications | 368 | ||
REFERENCES | 368 | ||
Fractures of the Lateral Process of the Talus | 375 | ||
Key points | 375 | ||
INTRODUCTION AND EPIDEMIOLOGY | 375 | ||
MECHANISM OF INJURY | 376 | ||
CLASSIFICATION | 376 | ||
Old Classifications | 376 | ||
Proposal of a Newly Modified Classification | 377 | ||
ASSOCIATED INJURIES | 377 | ||
DIAGNOSIS | 377 | ||
THERAPY | 379 | ||
SURGICAL TECHNIQUE | 380 | ||
Timing | 380 | ||
Position of the Patient | 380 | ||
Anesthesia | 380 | ||
Landmarks | 380 | ||
Approach | 381 | ||
Reduction | 381 | ||
Fixation | 382 | ||
Intraoperative Radiographic Assessment | 383 | ||
Associated Injuries | 383 | ||
POSTOPERATIVE CARE | 384 | ||
Prognosis | 384 | ||
Complications | 384 | ||
CASE EXAMPLES | 385 | ||
Case 1: Lateral Talar Process Fracture Type II | 385 | ||
Case 2: Lateral Talar Process Fracture Type IIIa | 387 | ||
Case 3: Lateral Talar Process Fracture Type IIIb | 389 | ||
Case 4: Lateral Talar Process Fracture Type IIIb (Type IIIc) | 392 | ||
ACKNOWLEDGMENTS | 394 | ||
SUPPLEMENTARY DATA | 394 | ||
REFERENCES | 394 | ||
Update on Subtalar Joint Instability | 397 | ||
Key points | 397 | ||
INTRODUCTION | 397 | ||
SUBTALAR JOINT ANATOMY AND BIOMECHANICS | 398 | ||
CLASSIFICATION OF SUBTALAR JOINT INSTABILITY | 400 | ||
CLINICAL PRESENTATION AND ASSESSMENT | 402 | ||
History and Clinical Examination | 402 | ||
Radiographic Examination | 403 | ||
Three-Dimensional Imaging | 404 | ||
Subtalar Arthroscopy | 404 | ||
TREATMENT OF SUBTALAR JOINT INSTABILITY | 405 | ||
Acute Injury | 405 | ||
Chronic Subtalar Joint Instability | 405 | ||
OUTCOME | 409 | ||
SUMMARY | 410 | ||
REFERENCES | 410 | ||
Arthroereisis | 415 | ||
Key points | 415 | ||
INTRODUCTION | 415 | ||
RATIONALE FOR ARTHROEREISIS | 416 | ||
TYPES OF ARTHROEREISIS | 417 | ||
BIOMECHANICS | 417 | ||
INDICATIONS | 427 | ||
SURGICAL TECHNIQUE | 428 | ||
REHABILITATION | 428 | ||
COMPLICATIONS | 431 | ||
DISCUSSION | 432 | ||
SUMMARY | 432 | ||
SUPPLEMENTARY DATA | 433 | ||
REFERENCES | 433 | ||
Coalitions of the Tarsal Bones | 435 | ||
Key points | 435 | ||
INTRODUCTION | 435 | ||
HISTORICAL PERSPECTIVE AND INCIDENCE | 435 | ||
CAUSE | 436 | ||
PATHOPHYSIOLOGY | 437 | ||
CLINICAL PRESENTATION | 437 | ||
IMAGING | 438 | ||
NATURAL HISTORY | 440 | ||
CONSERVATIVE TREATMENT | 440 | ||
SURGICAL RESECTION OF THE COALITION | 441 | ||
Resection of Calcaneonavicular Coalition | 441 | ||
Resection of Calcaneonavicular Coalition with Concomitant Flatfoot Reconstruction | 442 | ||
Calcaneonavicular Coalition and Concomitant Stress Fractures | 442 | ||
Resection of Talocalcaneal Coalition | 442 | ||
Resection of a Talocalcaneal Coalition with Concomitant Flatfoot Reconstruction | 443 | ||
Complications of Resection | 443 | ||
Postoperative Management | 443 | ||
JOINT FUSION IN TARSAL COALITION | 444 | ||
SUMMARY | 444 | ||
REFERENCES | 444 | ||
Medial Approach to the Subtalar Joint | 451 | ||
Key points | 451 | ||
INTRODUCTION | 451 | ||
ANATOMY OF MEDIAL APPROACH TO SUBTALAR JOINT | 451 | ||
OPERATIVE TECHNIQUE FOR OPEN MEDIAL APPROACH TO THE SUBTALAR JOINT | 453 | ||
ARTHROSCOPIC MEDIAL APPROACH TO THE SUBTALAR JOINT | 454 | ||
VASCULAR RISKS OF MEDIAL APPROACH TO SUBTALAR JOINT | 456 | ||
RESULTS OF MEDIAL APPROACH HINDFOOT FUSION | 456 | ||
SUMMARY | 458 | ||
REFERENCES | 458 | ||
Open Technique for In Situ Subtalar Fusion | 461 | ||
Key points | 461 | ||
INTRODUCTION | 461 | ||
PREOPERATIVE ASSESSMENT | 462 | ||
Anatomic and Biomechanical Aspects | 462 | ||
Patient History and Clinical Examination | 462 | ||
Imaging | 462 | ||
MRI | 463 | ||
Computed Tomography | 463 | ||
Diagnostic/Therapeutic Infiltration | 464 | ||
IN SITU SUBTALAR FUSION—OPERATIVE TECHNIQUE | 464 | ||
Patient Positioning and Setup | 464 | ||
Incision | 464 | ||
Approach | 465 | ||
Joint Preparation | 466 | ||
Fixation | 468 | ||
Wound Closure | 469 | ||
Postoperative Care | 471 | ||
SUMMARY | 471 | ||
REFERENCES | 472 | ||
Subtalar Arthroscopic Fusion | 475 | ||
Key points | 475 | ||
INTRODUCTION | 475 | ||
BIOMECHANICS | 475 | ||
EVALUATION | 476 | ||
INDICATIONS | 476 | ||
SURGICAL TECHNIQUE | 477 | ||
RESULTS | 481 | ||
COMPLICATIONS | 482 | ||
SUMMARY | 482 | ||
REFERENCES | 482 | ||
Subtalar Distraction Arthrodesis | 485 | ||
Key points | 485 | ||
INTRODUCTION | 485 | ||
INDICATIONS | 486 | ||
CONTRAINDICATIONS | 486 | ||
PREPARATION OF SURGERY | 487 | ||
SURGICAL TECHNIQUE IN DETAIL | 487 | ||
The Authors’ Approach | 487 | ||
Primary Dissection | 488 | ||
Intermediate Dissection | 489 | ||
Deep Dissection | 489 | ||
Postoperative Regimen | 493 | ||
PITFALLS AND POTENTIAL COMPLICATIONS | 495 | ||
RESULTS | 496 | ||
SUMMARY | 497 | ||
REFERENCES | 497 |