Ankle dislocation is rare form of ankle injury that is usually associated with malleolar fracture. Its occurrence in the absence of any fracture is very rare. It is usually caused by high energy trauma. Several forms have been reported with the medial and posteromedial dislocation being the most frequently reported. We report a case of 28 years-old-male patient presenting with crushing injury of the leg causing a pure anterior-superior dislocation of the tibiotalar joint associated with degloving injury of the leg in the absence of any fracture. To our knowledge, this is the first case in English and French written literature to describe an anterior-superior direction of pure ankle dislocation. In this report, we review the literature for similar case, and discuss the available treatment options in such a unique association, especially in the presence of soft tissue compromise.
Case:
An 18-year-old adolescent boy presented with knee pain and stiffness secondary to tibial plateau valgus malunion and osteochondral defect, 8 months after initial injury/fixation. We opted for a novel technique that reconstructs the convex lateral tibial plateau by using osteotomy and an osteochondral autograft harvested from the lateral aspect of the ipsilateral femoral condyle.
Conclusion:
The reported novel reconstruction technique is inexpensive, achievable with routine techniques, and demonstrated a favorable short-term outcome. At 3 years of follow-up, the patient had excellent, asymptomatic, left knee mobility and function with radiographic evidence of mild posttraumatic arthritis despite normal knee alignment.
Traumatic osteochondral fractures of metatarsal heads are rare injuries and are scarcely reported in the literature. Their classification and modalities of treatment remain unclear. Herein, we report two cases of traumatic fractures of the articular surfaces of the metatarsal heads in two young patients in which two different modalities of surgical treatment were used to achieve anatomic reduction and congruity of the metatarsophalangeal joints. The postoperative period was uneventful, and good functional and radiological outcomes were achieved in both patients. In this report, we review the literature for similar cases and discuss the available treatment options and their associated complications.
Introduction: Ganglion cyst of the cruciate ligaments is a rare entity. These cysts are usually found as incidental finding during knee arthroscopy, even though they can be the cause of knee discomfort or dull pain without a clear etiology. Case Presentation: We present herein a case of 35-year-old male who presented with unexplained dull knee pain. Magnetic resonance imaging (MRI) was performed and it showed a cystic-like lesion measuring 14 mm localized within the fibers of the posterior cruciate ligament (PCL) with no other significant pathology identified. A diagnosis of symptomatic PCL intrasubstance cyst was made. Patients were treated by arthroscopic debridement with good long-term outcomes. Conclusion: Ganglion cysts of the PCL are uncommon and especially if they were localized within the PCL fibers. MRI studies are inevitable to make the diagnosis, and arthroscopic debridement remains a reasonable surgical option with low recurrence rate.
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