Ankle dislocation pdf

View PDF. Save to Library Save. Create Alert Alert. Share This Paper. Figures from this paper. Posterior tibial tendon dislocation: a systematic review of the literature and presentation of a case.

British Journal of Sports Medicine. Enter the email address you signed up with and we'll email you a reset link. Need an account? Click here to sign up. Download Free PDF. Mujeeb Shaik. A short summary of this paper.

Download Download PDF. Translate PDF. Taylor, FRCS Ortho 5 Pure frontal plane rotatory dislocation of the ankle joint without an associated fracture is an extremely rare injury. We report one such case of an eversion rotatory dislocation and one case of an inversion rotatory dislocation.

To our knowledge, this is the first report of an eversion injury resulting in dislocation of the ankle without fracture. Both patients had low energy trauma, predisposing ligamentous injuries, and recurrent sprains.

In the patient with lateral rotatory dislocation, medial malleolar hypoplasia was also a contributing factor. Both patients healed the presenting index injury with nonoperative treatment, whereas the lateral rotatory dislocation had a lateral ankle stabilization to prevent subsequent injury.

The purpose of this Because of the greater mechanical strength of the ankle article is to describe 2 different varieties of rotatory dislo- mortise and the surrounding ligaments, ankle dislocation is cations of the ankle after low-velocity trauma. In addition, a usually accompanied by malleolar fractures 1. It is very review of the literature suggests that the case of a medial rare for the ankle to dislocate without an associated fracture, rotatory, eversion ankle dislocation discussed herein is the because this usually requires high energy trauma.

It is even first reported injury of its type. Five cases of rotatory dislocation of the ankle have been reported in the literature 1, 3— 6. In these cases, the term Case Report 1: Medial Ankle Rotatory Dislocation rotatory refers to the motion of the talus in the frontal plane. The talus, which remains between both malleoli in the ankle A year-old man presented to the emergency depart- mortise, spins about an axis either medially or laterally, ment with a painful and deformed left ankle.

He had sus- depending on the direction of the dislocating force and the tained a low-velocity eversion injury to his left ankle, which degree of ligamentous injury 6. The pathomechanics of occurred as he landed awkwardly on the medial aspect of his ankle while playing soccer with his son at home. He was a regular soccer player and had sustained several ankle Address correspondence to: Mr.

E-mail: mujeebshaik yahoo. There was mild swelling 2 Registrar in Orthopaedics, St. There was 3 Senior House Officer, St.

Paraesthesias were noted over the 5 Orthopaedic Consultant, St. Note the wedging of the talus on the medial malleolus. A Anteroposterior view. B Lateral view. Anteroposterior plain radiographs of the ankle showed a pure medial rotatory dislocation of the ankle without any evidence of fracture or disruption of the syndesmosis.

A lateral view of the ankle did not show any anteroposterior displace- ment of the talus Fig 1 , and radiographs of the remainder of the foot showed no pathology. Postreduction radiographs con- between the ages of 15 to 30 years. Between 15 to 30 years firmed satisfactory reduction of the ankle. The paraesthesias of age, he was very active in contact sports and sustained over the dorsum of the forefoot disappeared after a few several ankle sprains that never required orthopedic inter- hours.

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RK and IK designed the study and drafted the manuscript. IK and TT assisted with drafting of the manuscript and prepared the figures. All authors have read and approved the final manuscript. Correspondence to Ryosuke Kawai. The patient and her parents provided permission for this study to be published, and their identity has been protected.

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If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Reprints and Permissions. Kawai, R. Treatment of open ankle dislocation without associated fractures in a young athlete using external fixation and ligament repair with suture tape augmentation.

BMC Musculoskelet Disord 21, Download citation. Received : 17 March Accepted : 28 May Published : 05 June Anyone you share the following link with will be able to read this content:.

Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Skip to main content. Search all BMC articles Search. Download PDF. Abstract Background Ankle dislocation without fracture is an extremely rare injury because it is usually accompanied by concomitant malleolar fractures from the anatomical and mechanical viewpoints. Case presentation We report the case of a year-old woman who was injured while playing basketball.

Immediate reduction and ligament repair using suture tape augmentation were performed. Background The occurrence of ankle dislocation without accompanying fractures is an extremely rare event [ 1 , 2 , 3 , 4 ]. Case presentation A year-old woman fell and injured her right ankle during contact play in basketball. Full size image. Surgical technique Reduction using external fixation Emergency washout and debridement were performed with primary closure of the wound, and reduction using an external fixator under lumbar anesthesia was performed on the night of the injury.

Discussion and conclusions Pure ankle dislocations are extremely rare. Availability of data and materials All data concerning the case are presented in the manuscript. References 1. Article Google Scholar 2. Article Google Scholar 3. Article Google Scholar 4.

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Acknowledgements Not applicable. Funding No funding was provided. View author publications. Ethics declarations Ethics approval and consent to participate Not applicable.

Consent for publication The patient and her parents provided permission for this study to be published, and their identity has been protected. Competing interests The authors declare that they have no competing interests.