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Review Question - QID 2936

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QID 2936 (Type "2936" in App Search)
A 37-year-old female sustains the injury seen in Figures A and B. At long-term follow up, degeneration of which of the following joints has been shown to have the highest rate of patient symptoms?
  • A
  • B

Tibiotalar joint

5%

95/1814

Talonavicular joint

12%

210/1814

Calcaneocuboid joint

1%

24/1814

Lisfranc joint

7%

126/1814

Subtalar joint

74%

1335/1814

  • A
  • B

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Figures A and B show a medial subtalar dislocation, which is more common than a lateral dislocation (65% vs. 35%).

The referenced article by Bibbo et al looked at long-term follow up of these patients, and noted that radiographic degeneration of the ankle and subtalar joints were 89%, although 31% of ankle joints were symptomatic and 68% of subtalar joints were symptomatic. Midfoot degeneration was seen radiographically in 72% (15% symptomatic).

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