Journal of the Bahrain Medical Society

Year 2020, Volume 32, Issue 4, Pages 37-40

https://doi.org/10.26715/jbms.32_2020_4_6

Case Report

Anesthesia Management in a Rare Case of Closed Subtalar Dislocation with Posterior Process Talus Fracture: A Case Report and Review of Literature

Abdelaziz Shokry Abdelaziz*, Jalal Abdullah Al Khan, Mohammed Azizullah Khan

Author Affiliation

Departments of Anesthesia and Intensive Care, BDF Hospital - Royal Medical Services, Kingdom of
Bahrain.

*Corresponding author:
Abdelaziz Shokry Abdelaziz, Departments of Anesthesia and Intensive Care, BDF Hospital - Royal Medical Services, Kingdom of Bahrain; Tel. No.: (+973) 33405527; Email: Abdelaziz.shokry@outlook.com

Received date: July 4, 2020; Accepted date: November 8, 2020; Published date: December 31, 2020


Abstract

Isolated closed subtalar joint dislocation is a very rare injury that accounts for only 1% of all joint dislocations. Subtalar joint dislocations are usually associated with fractures of the adjacent bones such as the calcaneus, malleolus, fifth metatarsal, or talus. The management of such cases is usually done as a closed reduction under general anesthesia. The use of regional anesthesia for such injuries has not been highlighted in the literature. In this case report, a patient presented with severe subtalar joint dislocation, which was managed with regional popliteal and saphenous nerve blocks. However, the closed reduction failed, and the surgeon proceeded with open reduction and internal fixation with no perioperative adverse events.

Keywords: Subtalar; Joint dislocations; Nerve block; Regional anesthesia; Popliteal.