Currently used imaging options cannot accurately predict subtalar joint instability

Purpose To give a systematic overview of current diagnostic imaging options and surgical treatment for chronic subtalar joint instability. Methods A systematic literature search across the following sources was performed: PubMed, ScienceDirect, and SpringerLink. Twenty-three imaging studies and 19 o...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2019-09, Vol.27 (9), p.2818-2830
Main Authors: Krähenbühl, Nicola, Weinberg, Maxwell W., Davidson, Nathan P., Mills, Megan K., Hintermann, Beat, Saltzman, Charles L., Barg, Alexej
Format: Article
Language:English
Subjects:
Accuracy
Age
Ankle
Diagnostic software
Diagnostic systems
Imaging
Lateral stability
Ligaments
Measurement methods
Measurement techniques
Medical imaging
Medicine
Medicine & Public Health
Orthopedics
Pain
Patients
Quality assessment
Quality control
Radiographs
Radiography
Stability analysis
Surgeons
Surgery
Surgical instruments
Systematic review
Ultrasonic imaging
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Summary:Purpose To give a systematic overview of current diagnostic imaging options and surgical treatment for chronic subtalar joint instability. Methods A systematic literature search across the following sources was performed: PubMed, ScienceDirect, and SpringerLink. Twenty-three imaging studies and 19 outcome studies were included. The Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS 2) tool was used to assess the methodologic quality of the imaging articles, while the modified Coleman Score was used to assess the methodologic quality of the outcome studies. Results Conventional radiographs were most frequently used to assess chronic subtalar joint instability. Talar tilt, anterior talar translation, and subtalar tilt were the three most commonly used measurement methods. Surgery often included calcaneofibular ligament reconstruction. Conclusion Current imaging options do not reliably predict subtalar joint instability. Distinction between chronic lateral ankle instability and subtalar joint instability remains challenging. Recognition of subtalar joint instability as an identifiable and treatable cause of ankle pain requires vigilant clinical investigation. Level of evidence Systematic Review of Level III and Level IV Studies, Level IV.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-018-5232-8