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

Clinical Manifestations

The foot and ankle are deformed and swollen with tense skin without any wound indicative of open injuries. The foot may be in slight equinus and supination or pronation, depending on direction of the dislocation. Severe soft-tissue injury with profound ecchymosis is present. Specific peripheral nerve and arterial injuries are less frequent.[20] Rarely, pantalar dislocation presents with an isolated anterior ankle subluxation with unstable talonavicular and subtalar joints confirmed during fluoroscopy stress examination.[34]