An Unusual Fracture-Dislocation of the Ankle

Talocrural Dislocation With Associated Weber Type C Fibular Fracture in a Collegiate Football Player: A Case Report

“…However, most of the reported injuries are the result of a fall 4,7-11 or motor vehicle accident. [12][13][14][15] Although similar injuries have likely occurred in the sport setting, ours is the first case report to present this injury at this level of participation.…”

“…31 Ankle dislocation at the talocrural joint coupled with a fracture of the fibula is commonly reported in the literature. 6,7,11,12,14,22 Lin et al 32 showed that external rotation with excessive dorsiflexion was the most common mechanism of injury for ankle injuries in athletes playing on artificial turf (as the current case demonstrated). However, most of the reported injuries are the result of a fall 4,7-11 or motor vehicle accident.…”

“…[1][2][3][4][5][6] Many fracture-dislocation injuries of the ankle are the result of a fall 4,[7][8][9][10][11] or motor vehicle accident. [12][13][14][15] Most ankle fracture and dislocation injuries have less than favorable outcomes for the patient. 1,2,4,6,13,[15][16][17][18] The literature presents numerous factors associated with these poorer outcomes, the main factors being the patient's age, fracture location, fracture pattern, and the presence of one or more associated dislocations.…”

“…3,5,6,[18][19][20] Few of the published case studies of ankle dislocation and fibula fracture are sport related. [7][8][9][10][11][12]14,[20][21][22][23][24] Of those cases, few authors 25 discuss the occurrence in high-level football athletes.…”

Interposition of posterior tibial tendon in tibiofibular syndesmosis in a bimalleolar ankle fracture: a case report

“…Irreducible syndesmosis interval might be caused by an incarcerated tibialis posterior tendon between the tibia and fibula as reported previously. 1 , 6 , 8 , 9 - 16 This is rarely seen in ankle fracture dislocation, and a majority of the reported cases were initially neglected and required delayed reconstructive surgeries; further, some required ankle arthrodesis. 10 Therefore, orthopedic surgeons must be aware of this rare injury in ankle fracture dislocation, especially when there is difficulty in reducing tibiofibular syndesmosis interval at the time of surgery.…”