en
Scientific article
Case report
English

Subtalar subluxation in ballet dancers

Published inThe American journal of sports medicine, vol. 27, no. 2, p. 143-149
Publication date1999
Abstract

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 resumed 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.

Keywords
  • Adult
  • Ankle Injuries/diagnosis/etiology/therapy
  • Biomechanical Phenomena
  • Dancing/injuries
  • Dislocations/diagnosis/etiology/therapy
  • Female
  • Humans
  • Male
  • Talus/injuries
Citation (ISO format)
MENETREY, Jacques, FRITSCHY, Daniel. Subtalar subluxation in ballet dancers. In: The American journal of sports medicine, 1999, vol. 27, n° 2, p. 143–149. doi: 10.1016/s1268-7731(99)80075-7
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Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal0363-5465
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