Tips, Quips, and Pearls| Volume 51, ISSUE 6, P816-819, November 2012

Subtalar Arthroscopy with Calcaneal Skeletal Traction in a Hanging Position

Published:August 31, 2012DOI:


      Several arthroscopic approaches to the subtalar joint have been developed in the supine, lateral, or prone position. However, it is difficult to use the posteromedial portal with the patient in the supine or lateral position and the anterolateral portal with the patient prone. Furthermore, obtaining joint distraction in the lateral or prone position is difficult. We present a technique that enables the combination of 2 posterior portals and lateral portals to the subtalar joint with calcaneal skeletal traction in a hanging position for better visualization and instrumentation of the joint.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to The Journal of Foot and Ankle Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Ahn J.H.
        • Lee S.K.
        • Kim K.J.
        • Kim Y.I.
        • Choy W.K.
        Subtalar arthroscopy procedure for the treatment of subtalar pathologic conditions: 115 consecutive cases.
        Orthopedics. 2009; 32: 891
        • Beals T.C.
        • Junko J.T.
        • Amendola A.
        • Nichisch F.
        • Saltzman C.L.
        Minimally invasive distraction technique for prone posterior and subtalar arthroscopy.
        Foot Ankle Int. 2010; 31: 316-319
        • Beimers L.
        • Frey C.
        • van Dijk C.N.
        Arthroscopy of the posterior subtalar joint.
        Foot Ankle Clin. 2006; 11: 369-390
        • Frey C.
        • Casser S.
        • Feder K.
        Arthroscopy of the subtalar joint.
        Foot Ankle Int. 1994; 15: 424-428
        • Williams M.M.
        • Ferkel R.D.
        Subtalar arthroscopy: indications, techniques, and results.
        Arthroscopy. 1998; 14: 373-381
        • van Dijk C.N.
        Hindfoot endoscopy.
        Foot Ankle Clin. 2006; 11: 391-414
        • Oloff L.M.
        • Schulhofer S.D.
        • Bocko A.P.
        Subtalar joint arthroscopy for sinus tarsi syndrome: a review of 29 cases.
        J Foot Ankle Surg. 2001; 40: 152-157
        • Lombardi C.M.
        • Shilhaneck A.D.
        • Connolly F.G.
        Modified arthroscopic excision of the symptomatic os trigonum and release of the flexor hallucis longus tendon: operative technique and case study.
        J Foot Ankle Surg. 1999; 38: 347-351
        • Lundeen R.O.
        Arthroscopic fusion of the ankle and subtalar joint.
        Clin Podiatr Med Surg. 1994; 11: 395-406
        • Phistikul P.
        • Tochigi Y.
        • Saltzman C.L.
        • Amendola A.
        Arthroscopic visualization of the posterior subtalar joint in the prone position: a cadaver study.
        Arthroscopy. 2006; 22: 511-515