DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20213391

Open posteromedial dislocation of ankle without associated fractures

Saipramod Yadlapalli, Bezawada Paparao, Guruvardhan Kumar Venkata Kotha, Praveen Elaprolu

Abstract


Dislocation of ankle without associated malleoli or talar fractures is a rare presentation. There is no established standard treatment for this condition. Most of them are treated by immediate reduction followed by immobilisation for 6-9 weeks. Majority of them recover without any complications. Here we reported a case of 33 year old man who was injured due to fall from a height, His ankle was deformed with a laceration over lateral side of ankle. Plain radiograph revealed posteromedial tibiotalar dislocation without any associated fractures. Immediate reduction and suturing was performed. At 5 months postoperative review patient was able to perform his daily routine without any instability or complaints.


Keywords


Open ankle dislocation, Tibiotalar, Pure dislocation, Ligament repair, Posteromedial

Full Text:

PDF

References


Fahey JJ, Murphy JL. Dislocations and fractures of the talus. Surg Clin North Am. 1965;45(1):79-102.

Garbuio P, Gérard F, Gagneux E. Pure dislocation of the tibiotalar joint. Report of 9 cases. Rev Chir Orthop. 1995;81:601-8.

Conwell HE, Key FC. Management of fractures, dislocations and sprains. 3rd ed. St Louis: CV Mosby; 1942: 1057-64.

Uyar M, Tan A, Işler M, Cetinus E. Closed posteromedial dislocation of the tibiotalar joint without fracture in a basketball player. Br J Sports Med. 2004;38(3):342-3.

Krishnamurthy S, Schultz RJ. Pure posteromedial dislocation of the ankle joint. Clin Orthop Relat Res. 1985;(201):68-70.

Wilson M, Michele A, Jacobson E. Ankle dislocation without fracture. J Bone Joint Surg. 1939;21(1):198-204.

Uyar M, Tan A, Isler M, Cetinus E. Closed posteromedial dislocation of the tibiotalar joint without fracture in a basketball player. Br J Sports Med. 2004;38(3):342-3.

Tarantino U, Cannata G, Gasbarra E, Bondi L, Celi M, Iundusi R. Open medial dislocation of the ankle without fracture. J Bone Joint Surg Br. 2008;90:1382-4.

Segal D, Wasilewski S. Total dislocation of the talus. J Bone Joint Surg Am. 1980;62(8):1370-2.

Elisé S, Maynou C, Mestdagh H, Forgeois P, Labourdette P. Tibiotalar dislocations without associated fracture: Report on 16 cases. Acta Orthop Belg. 1998;64(1):25-34.

Lazarettos I, Brilakis E, Efsthathopoulas N. Open ankle dislocation without associated malleolar fracture. Case Reps Series. 2013;52(4):508-12.

Colville MR, Colville JM, Manoli A. Posteromedial dislocation of the ankle without fracture. J Bone Joint Surg. 1987;69(5):706-11.

Kannus P, Renstrom P. Treatment for acute tears of the lateral ligaments of the ankle: operation, cast, or early controlled mobilization. J Bone Joint Surg Am. 1991;73(2):305-12.




Bookmark and Share