Diagnosisand Treatment of Peritalar Injuriesin the Acute Trauma Setting: A Review of the Literature

The bony and ligamentous structure of the foot is a complex kinematic interaction, designed to transmit force and motion in anenergy-efficient and stable manner. Visible deformity of the foot or atypical patterns of swelling should raise significant concernfor foot trauma. In some instances, disruption of either bony structure or supporting ligaments is identified years after injury dueto chronic pain in the hindfoot or midfoot. &is article will focus on injuries relating to the peritalar complex, the bony articulationbetween the tibia, talus, calcaneus, and navicular bones, supplemented with multiple ligamentous structures. Attention will begiven to the five most common peritalar injuries to illustrate the nature of each and briefly describe methods for achieving thecorrect diagnosis in the context of acute trauma. &is includes subtalar dislocations, chopart joint injuries, talar fractures,navicular fractures, and occult calcaneal fractures.