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Current Concepts on Subtalar Instability

Subtalar instability remains a topic of debate, and its precise cause is still unknown. The mechanism of injury and clinical symptoms of ankle and subtalar instabilities largely overlap, resulting in many cases of isolated or combined subtalar instability that are often misdiagnosed. Neglecting the...

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Autores principales: Pereira, Bruno S., Andrade, Renato, Espregueira-Mendes, João, Marano, Ricardo P. Casaroli, Oliva, Xavier Martin, Karlsson, Jón
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8381447/
https://www.ncbi.nlm.nih.gov/pubmed/34435065
http://dx.doi.org/10.1177/23259671211021352
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author Pereira, Bruno S.
Andrade, Renato
Espregueira-Mendes, João
Marano, Ricardo P. Casaroli
Oliva, Xavier Martin
Karlsson, Jón
author_facet Pereira, Bruno S.
Andrade, Renato
Espregueira-Mendes, João
Marano, Ricardo P. Casaroli
Oliva, Xavier Martin
Karlsson, Jón
author_sort Pereira, Bruno S.
collection PubMed
description Subtalar instability remains a topic of debate, and its precise cause is still unknown. The mechanism of injury and clinical symptoms of ankle and subtalar instabilities largely overlap, resulting in many cases of isolated or combined subtalar instability that are often misdiagnosed. Neglecting the subtalar instability may lead to failure of conservative or surgical treatment and result in chronic ankle instability. Understanding the accurate anatomy and biomechanics of the subtalar joint, their interplay, and the contributions of the different subtalar soft tissue structures is fundamental to correctly diagnose and manage subtalar instability. An accurate diagnosis is crucial to correctly identify those patients with instability who may require conservative or surgical treatment. Many different nonsurgical and surgical approaches have been proposed to manage combined or isolated subtalar instability, and the clinician should be aware of available treatment options to make an informed decision. In this current concepts narrative review, we provide a comprehensive overview of the current knowledge on the anatomy, biomechanics, clinical and imaging diagnosis, nonsurgical and surgical treatment options, and outcomes after subtalar instability treatment.
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spelling pubmed-83814472021-08-24 Current Concepts on Subtalar Instability Pereira, Bruno S. Andrade, Renato Espregueira-Mendes, João Marano, Ricardo P. Casaroli Oliva, Xavier Martin Karlsson, Jón Orthop J Sports Med Article Subtalar instability remains a topic of debate, and its precise cause is still unknown. The mechanism of injury and clinical symptoms of ankle and subtalar instabilities largely overlap, resulting in many cases of isolated or combined subtalar instability that are often misdiagnosed. Neglecting the subtalar instability may lead to failure of conservative or surgical treatment and result in chronic ankle instability. Understanding the accurate anatomy and biomechanics of the subtalar joint, their interplay, and the contributions of the different subtalar soft tissue structures is fundamental to correctly diagnose and manage subtalar instability. An accurate diagnosis is crucial to correctly identify those patients with instability who may require conservative or surgical treatment. Many different nonsurgical and surgical approaches have been proposed to manage combined or isolated subtalar instability, and the clinician should be aware of available treatment options to make an informed decision. In this current concepts narrative review, we provide a comprehensive overview of the current knowledge on the anatomy, biomechanics, clinical and imaging diagnosis, nonsurgical and surgical treatment options, and outcomes after subtalar instability treatment. SAGE Publications 2021-08-19 /pmc/articles/PMC8381447/ /pubmed/34435065 http://dx.doi.org/10.1177/23259671211021352 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Pereira, Bruno S.
Andrade, Renato
Espregueira-Mendes, João
Marano, Ricardo P. Casaroli
Oliva, Xavier Martin
Karlsson, Jón
Current Concepts on Subtalar Instability
title Current Concepts on Subtalar Instability
title_full Current Concepts on Subtalar Instability
title_fullStr Current Concepts on Subtalar Instability
title_full_unstemmed Current Concepts on Subtalar Instability
title_short Current Concepts on Subtalar Instability
title_sort current concepts on subtalar instability
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8381447/
https://www.ncbi.nlm.nih.gov/pubmed/34435065
http://dx.doi.org/10.1177/23259671211021352
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