TABLE 1.
Available Diagnostic Methods for Subtalar Instabilitya
Diagnostic Method | Purpose |
---|---|
Clinical history | Mechanism of injury, symptoms |
Physical examination | Signs of ligament injury, lower leg alignment, manual stress testing |
Imaging | |
Stress radiography | Objective assessment of subtalar laxity |
Using MRI | Assess structural integrity of subtalar ligaments and peripheral structures |
Subtalar arthrography | Assess structural integrity of subtalar ligaments and peripheral structures |
CT | Hindfoot alignment and damage of peripheral bony structures; useful if combined with stress measurements |
Using US | Assess structural integrity of subtalar ligaments with dynamic testing |
Diagnostic arthroscopy | In cases that show equivocal findings; helpful to visualize ligaments that are difficult to assess in MRI/US (eg, ITCL) |
aCT, computed tomography; ITCL, interosseous talocalcaneal ligament; MRI, magnetic resonance imaging; US, ultrasound.