Closed Pantalar Dislocations

Characteristics, Treatment Approaches, and Outcomes

Amir Reza Vosoughi, MD; Heather A. Vallier, MD


J Am Acad Orthop Surg. 2021;29(7):278-287. 

In This Article

Literature Review Selection

Through a comprehensive literature review, based on Medline and Google Scholar through March 2020, all case reports, case series, and review articles on pantalar dislocation in any language were collected. Pantalar dislocation, total talar dislocation, and extruded talus were the search terms. By studying the titles and abstracts, open pantalar dislocation or extruded talus cases were excluded. Only articles on closed pantalar dislocation with the well-defined treatment approaches and outcomes were included. Citations from the studies identified in the search were also included. Some articles described both open and closed pantalar cases, and only closed injuries in these were extracted.[3] Finally, 33 articles[1–33] were eligible (Table 1)—31 in English language and 2 in the other languages,[18,23] which were translated by Google translate. Unfortunately, in some articles, the demographic data and other features of individuals were not thoroughly described.[1,2,4,8,10,12,14,23,29,30]

Excluded studies were (1) a case of pantalar instability approved under fluoroscopic stress views,[34] (2) a mistake in diagnosis of one case which was Chopart dislocation instead of pantalar dislocation,[35] and (3) four cases in the study by Wagner et al[36] because the authors did not exactly explain the characteristics and final outcome for each individual. The patient presented, on arrival, with apparent anterior ankle subluxation with reduced subtalar and talonavicular joints.