Closed posteromedial dislocation of the tibiotalar joint without fracture in a basketball player

Uyar, Meral

doi:10.1136/bjsm.2002.003954

Cited by 42 publications

(29 citation statements)

References 8 publications

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“…They are often caused by high‐energy trauma, as a result of, for instance, motorcycle accidents, sports injuries, or falls from height. A small number of cases secondary to low‐energy trauma have been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Open Dislocation of Ankle without Fracture Treated with an External Fixator

Sayıt

Sayit

Zan

2017

Orthopaedic Surgery

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Ankle dislocations are orthopedic emergencies that require immediate treatment to avoid neurovascular impairment. They are usually accompanied by one or more comminuted fractures of the ankle mortis. In rare circumstances, such as high-energy trauma, the ankle dislocations may not be accompanied by concomitant malleolar fractures and, thus, are named "pure ankle dislocations". We presented a very rare and interesting case of an open medial dislocation of the ankle without associated fracture in an 18-year-old man with no known predisposing risk factors. The patient was admitted to the emergency department after sustaining a catastrophic trampoline accident resulting in severe inversion of the right ankle. The patient was treated with an external fixator and was mobilized early in the post-surgical course. Despite initial presentation that revealed lack of posterior tibial pulse, the post-surgical course was uneventful, with full functional recovery and joint mobility. The primary goals of treatment are immediate reduction of the joint and relief of neurovascular stress. External fixation is a prompt, fairly easy treatment that one should keep in mind in pure ankle dislocations. Nonetheless, ligamentous restoration and early mobilization were the key elements as seen in our case for full functional recovery.

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Section: Discussionmentioning

confidence: 99%

Open Dislocation of Ankle without Fracture Treated with an External Fixator

Sayıt

Sayit

Zan

2017

Orthopaedic Surgery

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“…Only a few cases caused by low-energy trauma have been reported. 5,[7][8][9] The talus, according to the studies of Fernandes, 10 may dislocate medially or laterally, without associated fractures after application of an inversion or eversion force on a maximally plantar flexed foot. Fahey and Murphy 11 described five types of ankle displacement according to the direction of the dislocation: anterior, posterior, medial, lateral or superior combined.…”

Section: Discussionmentioning

confidence: 99%

Open medial dislocation of the ankle without fracture

Tarantino

Cannata

Gasbarra

et al. 2008

The Journal of Bone and Joint Surgery. British volume

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A 20-year-old man sustained an open medial dislocation of the ankle without an associated fracture after a low-energy inversion injury. Prompt debridement and reduction with primary wound closure of the skin were performed without suture of the capsule. Immobilisation in a non-weight-bearing cast for 30 days followed by ankle bracing for two weeks and subsequent physiotherapy, produced full functional recovery by three months. At follow-up at one year there was a full range of pain-free movement, although the radiographs and MR scan showed early post-traumatic degenerative change at the medial aspect of the tibiotalar and the calcaneocuboid joints.

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“…Closed dislocations must be treated orthopedically. The reduction is done by maneuvering a boot jack in the posterior varieties, under general anesthesia, knee flexed to release the triceps sural muscle[10] [12]. Most authors recommend emergency reduction followed by plaster cast restraint whether the dislocation is open or closed[7] [25].…”

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confidence: 99%