radiographic evidence of talotarsal dislocation
Post on 26-May-2015
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Interpretation of Relaxed & Neutral Stance Position
Radiographs of the TaloTarsal Joint
Physician Benefit
• Documents objective radiographic evidence of the talotarsal dislocation
• Identifies if there is a flexible/reducibility deformity
• Rules out secondary deformities that may need to be addressed
Patient Benefit
• Educates the patient on their deformity• Assists the patient in determining the most
appropriate treatment course
Lateral View - Normal
• Articular facets are in constant congruent contact
• Forces are balanced on the articular facets
• “Normal” amount of joint mechanism motion is available (no more, no less)
Lateral View - Normal
Sinus tarsi:
in “open” position
Lateral View – TaloTarsal Dislocation
Partial to full obliteration of the sinus tarsi.
Lateral View - Normal
Navicular Position:
Should overlap the dorsal half of the cuboid.
Lateral View – TaloTarsal Dislocation
Navicular has fallen into the plantar half of the
cuboid.
Lateral View - Normal
Sustentaculum Tali:
should be dorsally positioned.
Lateral View – TaloTarsal Dislocation
Sustentaculum tali
has dropped – plantar position.
Lateral View - Normal
Cyma Line:
head of the talus should only be slightly anterior to distal aspect
of the calcaneus.
Lateral View – TaloTarsal Dislocation
Anteriorly Deviated Cyma Line:
head of the talus has dislocated anteriorly.More than just a slightly anterior to the distal aspect of the calcaneus.
Lateral View - Normal
Talar Declination Angle:
< 21 degrees
Lateral View – TaloTarsal Dislocation
Talar Declination Angle:
> 21 degrees
Anterior-Posterior ViewNormal TaloTarsal Joint Alignment
• Talar Second Metatarsal– Ideal is 3-6– Acceptable up to 16
Anterior-Posterior ViewTaloTarsal Joint Dislocation
• Talar Second Metatarsal> 16
• When the bisection of the talus is medial to the 1st metatarsal.
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