Ankle injuries frequently occur in dancers.
Among these injuries, only a few cases of talar subluxation have been reported in the literature.
In our series, we diagnosed and treated 25 subtalar subluxations over a 1-year period in the Ballet Béjart Lausanne company.
The subluxations occurred after a grand plie on pointes or at the landing of a jump on demi-pointes, without any mechanism of ankle sprain.
The dancer usually noted a sudden and sharp pain in the talonavicular joint and hindfoot with a feeling of « forward displacement » of the foot.
At palpation, the talonavicular ligament, the anterior talofibular ligament, and the posteromedial part of the subtalar joint were painful.
A limitation of the ankle extension and a clear hypomobility of the subtalar joint were noted.
Under the effect of shearing forces on the midtarsal joint, a posteromedial subtalar subluxation occurred.
Treatment consisted of a manipulation that reduced the subluxation.
Continuous taping, which locks the talonavicular joint in the anterior direction, was recommended for 6 weeks.
Dancing could be d in a swimming pool after 2 weeks, and on the ground after 3 to 4 weeks.
We found that subluxation could recur, and that it could eventually become chronic.
Mots-clés Pascal : Traumatisme, Sousastragalien, Association, Danse, Cheville, Symptomatologie, Epidémiologie, Incidence, Etiologie, Diagnostic, Traitement, Etude cas, Adulte, Homme, Membre inférieur, Système ostéoarticulaire pathologie, Pied pathologie, Subluxation
Mots-clés Pascal anglais : Trauma, Subtalar, Association, Dance, Ankle, Symptomatology, Epidemiology, Incidence, Etiology, Diagnosis, Treatment, Case study, Adult, Human, Lower limb, Diseases of the osteoarticular system, Disease of the foot
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0218898
Code Inist : 002B16H. Création : 16/11/1999.