Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
권호 표지

Subtalar Arthroscopy

거골하 관절경술

  • Suh, Jin-Soo (Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital)
  • 서진수 (인제대학교 일산백병원 정형외과)
  • Received : 2012.01.15
  • Accepted : 2012.02.14
  • Published : 2012.03.15
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Abstract

The subtalar joint is a complex joint that is functionally responsible for inversion and eversion of the hindfoot. Advances in optical technology and surgical instrumentation have allowed the arthorscocpic surgeon to investiagate the small joints including the subtalar joint. Indications for subtalar arthroscopy include pain, swelling, stiffness and locking. Therapeutic indications include treatment of chondromalacia, osteophytes, arthrofibrosis, synovitis, loose bodies, osteochondral lesions, excision of a painful os trigonum, arthrodesis, and FHL tendinopathy. Contraindications to subtalar arthroscopy include infection, advanced osteoarthritis with deformity, severe edema, poor vascularity and poor skin quality. Subtalar arthroscopy is a technically demanding and difficult procedure that should only be performed by experienced surgeons. With proper instrumentation and careful operative techniques, satisfactory results may be obtained with minimal morbidity.

Keywords

References

  1. Frey C, Gasser S, Feder K. Arthroscopy of the subtalar joint. Foot Ankle Int. 1994;15:424-8. https://doi.org/10.1177/107110079401500804
  2. Amendola A, Lee KB, Saltzman CL, Suh JS. Technique and early experience with posterior arthroscopic subtalar arthrodesis. Foot Ankle Int. 2007;28:298-302. https://doi.org/10.3113/FAI.2007.0298
  3. Williams MM, Ferkel RD. Subtalar arthroscopy: indications, technique, and results. Arthroscopy. 1998;14:373-81. https://doi.org/10.1016/S0749-8063(98)70004-0
  4. Parisien JS, Vangsness CT. Arthroscopy of the subtalar joint: an experimental approach. Arthroscopy. 1985;1:53-7. https://doi.org/10.1016/S0749-8063(85)80079-7
  5. Tasto JP. Arthroscopy of the subtalar joint and arthroscopic subtalar arthrodesis. Instr Course Lect. 2006;55:555-64.
  6. Jones WF. The talocalcaneal articulation. Lancet. 1944;247:241-2.
  7. Cahill DR. The anantomy and function of the contents of the human tarsal sinus and canal. Ant Rec. 1965;153:1-17. https://doi.org/10.1002/ar.1091530102
  8. Last RJ. Specimens from he Hunterian Collection (7). The subtalar joint. J Bone Joint Surg Br. 1952;34-B:116-9. https://doi.org/10.1302/0301-620X.34B1.116
  9. Villadot A, Lorenzo JC, Salazar J, Rodríguez A. The subtalar joint: embryology and morphology. Foot Ankle. 1984;5:54-66. https://doi.org/10.1177/107110078400500203
  10. Schmidt HM. Form and attachment of the human sinus tarsi and canalis tarsi ligaments. Acta Anat (Basel). 1978;102:184-94. https://doi.org/10.1159/000145636
  11. The Korean foot and ankle society. The foot and ankle.1st ed. Seoul: Jin publising co.;2010. 480-8.
  12. Harper MC. The lateral ligamentous support of the subtalar joint. Foot Ankle. 1991;11:354-8. https://doi.org/10.1177/107110079101100604
  13. Stephens MM, Sammarco GJ. The stabilizing role of the lateral ligament complex around the ankle and subtalar joints. Foot Ankle. 1992;13:130-6. https://doi.org/10.1177/107110079201300304
  14. Jerosch J. Subtalar arthroscopy--indications and surgical technique. Knee Surg Sports Traumatol Arthrosc. 1998;6:122-8. https://doi.org/10.1007/s001670050084
  15. Mekhail AO, Heck BE, Ebraheim NA, Jackson WT. Arthroscopy of the subtalar joint: establishing a medial portal. Foot Ankle Int. 1995;16:427-32. https://doi.org/10.1177/107110079501600709
  16. Lee KB, Saltzman CL, Suh JS, Wasserman L, Amendola A. A posterior 3-portal arthroscopic approach for isolated subtalar arthrodesis. Arthroscopy. 2008;24:1306-10. https://doi.org/10.1016/j.arthro.2006.01.025
  17. Parisien JS. Arthroscopy of the subtalar joint: a preliminary report. Foot Ankle. 1986;6:219-24. https://doi.org/10.1177/107110078600600503
  18. van Dijk CN, Scholten PE, Krips R. A 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology. Arthroscopy. 2000;16:871-6. https://doi.org/10.1053/jars.2000.19430
  19. Chao W. Os trigonum. Foot Ankle Clin. 2004;9:787-96. https://doi.org/10.1016/j.fcl.2004.06.006
  20. Lombardi CM, Silhanek AD, Connolly FG. Modified arthroscopic excision of the symptomatic os trigonum and release of the flexor hallucis longus tendon: operative technique and case study. J Foot Ankle Surg. 1999;38:347-51. https://doi.org/10.1016/S1067-2516(99)80006-4
  21. O'Connor D. Sinus tarsi syndrome: a clinical entity. J Bone Joint Surg Am. 1958;40:720.
  22. Oloff LM, Schulhofer SD, Bocko AP. Subtalar joint arthroscopy for sinus tarsi syndrome: a review of 29 cases. J Foot Ankle Surg. 2001;40:152-7. https://doi.org/10.1016/S1067-2516(01)80081-8
  23. Frey C, Feder KS, DiGiovanni C. Arthroscopic evaluation of the subtalar joint: does sinus tarsi syndrome exist? Foot Ankle Int. 1999;20:185-91. https://doi.org/10.1177/107110079902000309
  24. Taillard W, Meyer JM, Garcia J, Blanc Y. The sinus tarsi syndrome. Int Orthop. 1981;5:117-30. https://doi.org/10.1007/BF00267842
  25. Elgafy H, Ebraheim NA. Subtarlar arthroscopy for persistent subfibular pain after calcaneal fracture. Foot Ankle. 1999;20:422-7. https://doi.org/10.1177/107110079902000705
  26. Kashuk KB, Harmelin E, Holcombe R, Goggin J. Arthroscopy of the ankle and subtalar joint. Clin Podiatr Med Surg. 2000;17:55-79.
  27. Easley ME, Trnka HJ, Schon LC, Myerson MS. Isolated subtalar arthrodesis. J Bone Joint Surg Am. 2000;82:613-24. https://doi.org/10.2106/00004623-200005000-00002
  28. Glanzmann MC, Sanhueza-Hernandez R. Arthroscopic subtalar arthrodesis for symptomatic osteoarthritis of the hindfoot: a prospective study of 41 cases. Foot Ankle Int. 2007;28:2-7. https://doi.org/10.3113/FAI.2007.0001
  29. Sammarco GJ, Tablante EB. Subtalar arthrodesis. Clin Orthop Relat Res. 1998;349:73-80. https://doi.org/10.1097/00003086-199804000-00010
  30. Goldberger MI, Conti SF. Clinical outcome after subtalar arthroscopy. Foot Ankle Int. 1998;19:462-5. https://doi.org/10.1177/107110079801900707
  31. Martin DF, Baker CL, Curl WW, et al. Operative ankle arthroscopy. Long-term followup. Am J Sports Med. 1989;17:16-23. https://doi.org/10.1177/036354658901700103