Case below is a 72 year old RN presents for second opinion on her ankle pain. She has been to other doctors to no avail. Xray below was taken.
Symptoms: Pain in the lateral foot below the ankle joint. Pain on uneven surfaces, stiffness and pain in the morning. Manual test shows pain upon inversion and eversion of the isolated joint. Patient did get immediate relief with 1% lidocaine into the subtalar joint.
Preop Xray below.
 |
| FFLC patient preop: note the malalignment on this view. MRI confirmed swelling and ligament injury in the subtalar joint |
Above shows the post operative Xray of a healed subtalar joint fusion. Noted the joint is realigned now and that there is a boney bridge present. No pain per the patient and able to go about her activities as an RN at full duty.
Post operative protocol:
8 wks of none weight bearing in a cast. Then a cam boot for 8 wks with aggressive physical therapy.
Discussion: Degenerative joint disease of the subtalar joint can be treated with NSAIDS such as motrin, aleve, etc. Injection therapy with corticosteroids may be of help, but a dislocation as presented in this case requires a subtalar joint fusion or the pain and instability will continue on a daily basis.
Below is a poem from a subtalar joint fusion patient.
Dr. Kevin Lam
Family Foot and Leg Center, PA
Naples, FL
239 430 3668
www.NaplesPodiatrist.com
Below is a poem from a subtalar joint fusion patient.
Dr. Kevin Lam
Family Foot and Leg Center, PA
Naples, FL
239 430 3668
www.NaplesPodiatrist.com
AFO
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