DOI: https://doi.org/10.36347/sjmcr.2026.v14i07.009

Pages: 1644-1650

Pure medial subtalar dislocation is a rare traumatological injury, representing approximately 1% of all traumatic dislocations. We report a series of three cases managed at our department. Case 1: A 20-year-old male sustained a closed right medial subtalar dislocation following a stair-fall, with transient vascular compromise (capillary refill time >3 seconds) and no neurological deficit; plain radiographs and CT confirmed a pure dislocation without fracture. Case 2: A 31-year-old male involved in a scooter accident presented with a left medial subtalar dislocation associated with a non-displaced avulsion fracture of the tip of the lateral malleolus. Case 3: A 62-year-old male with hypothyroidism and hypertension sustained a right medial subtalar dislocation following a stair-fall, with intact neurovascular status. In all three cases, emergency closed reduction was achieved using the boot-pull (arrache-botte) manoeuvre under sedation, followed by below-knee cast immobilisation with six weeks of non-weight-bearing. Post-reduction imaging confirmed satisfactory articular congruence in each case, and clinical follow-up demonstrated favourable functional outcomes without avascular necrosis or post-traumatic arthritis. This series highlights the importance of prompt recognition, careful neurovascular assessment, and urgent closed reduction in the management of this orthopaedic emergency.