Closed posterior ankle dislocation without associated fractures: a case report

Mubark, Islam; Anwar, Shahed; Hayward, Keith

doi:10.1093/jscr/rjx165

Cited by 7 publications

(5 citation statements)

References 5 publications

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“…Furthermore, our study corroborates the findings of multiple other authors in that ankle dislocations, without malleolar fracture, can be treated nonoperatively with good results [2][3][4][5][6][7][8][9][10]. This is likely due to the intact deltoid ligament and maintained blood supply.…”

Section: Discussionsupporting

confidence: 90%

“…Ankle dislocation without an associated fracture (pure ankle dislocation) is a rare injury accounting for only 0.065% of all ankle injuries [1]. Due to its rarity, pure ankle dislocations are not well understood with only case reports and small case series being described in the literature [2][3][4][5][6][7][8][9][10]. Even more unusual is a pure ankle dislocation with associated dislocation of an os trigonal process.…”

Section: Introductionmentioning

confidence: 99%

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Isolated Posterior Medial Ankle Dislocation with Associated Os Trigonum Dislocation after Low-Energy Mechanism

Irving

Geers

Lawrence

2020

Case Reports in Orthopedics

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We describe a case of an isolated posteromedial ankle dislocation, without malleolar fracture, with associated dislocation of an os trigonal process after a low-energy tennis injury. We demonstrate that nonoperative treatment results in excellent functional outcome scores with minimal arthritic progression at 2 years of follow-up. We discuss pathoanatomic risk factors of pure dislocations and propose that an os trigonum is a risk factor for isolated dislocations of the ankle.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Isolated Posterior Medial Ankle Dislocation with Associated Os Trigonum Dislocation after Low-Energy Mechanism

Irving

Geers

Lawrence

2020

Case Reports in Orthopedics

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“…1 A RM não é solicitada rotineiramente, mas se os pacientes apresentarem dor ou instabilidade crónica permite avaliar a extensão da rotura ligamentar, atingimento de ligamentos da sindesmose tibiofibular e lesão da cartilagem articular do talus, da tíbia ou da fíbula. 18 Os estudos sugerem que a reconstrução ligamentar cirúrgica do tornozelo só deve ser considerada nos casos de instabilidade crónica após insucesso de reabilitação funcional adequada. 6 O prognóstico das luxações puras do tornozelo é favorável, sendo pior nas situações de exposição óssea (luxações expostas) do que nas luxações fechadas.…”

Section: Discussionunclassified

Luxação Fechada Pura do Tornozelo no Jiu-Jitsu

Freitas,

Olim Castro,

Alegre

et al. 2024

Revdesp

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Ankle fractures-dislocations are very common and are often associated with injuries in sports context. Ankle dislocations without associated tibia or fibula fractures, are extremely rare due to the ligamentous and capsular resistance of this joint, which exceeds bone resistance. We present a clinical case of a pure closed dislocation of the ankle that occurred during the practice of Jiu-Jitsu. After closed reduction, the patient underwent immobilization of the limb, which was followed by physiotherapy, obtaining satisfactory results, and returning to sports without restrictions after 4.5 months. In this paper it is discussed this rare traumatic injury in terms of epidemiology, pathophysiology, diagnosis, and treatment

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“…In the case of pure ankle dislocation, CT is highly recommended for excluding the possibility of osteochondral fragments entrapment in joint. Also, MRI provides profounding information about the extent of injuries to the cartilage and ligaments, as well as early arthritic changes, especially when patients suffer from ongoing pain or instability [12]. Based on the results reported by several authors, instability and joint stiffness are uncommon complications associated with pure ankle dislocations [8,13].…”

Section: Discussionmentioning

confidence: 99%

Pure Ankle Dislocation Treated With Casting and Early Range of Motions and Rehabilitation

Moghtadaei

Hajializade

Mahdavi

et al. 2019

J. Res. Orthop. Sci.

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Introduction: Ankle dislocations are a group of injuries requiring immediate orthopedic interventions to avoid subsequent neurovascular complications and impairments. In most cases, they are associated with a malleolar fracture in the ankle. However, in the sporadic cases, especially the ones due to high-energy traumas, ankle dislocations are not associated with malleolar fractures and are referred to as "pure ankle dislocations". Case Presentation: Here, we report a rare case of pure ankle dislocation in a 38-year-old female athlete with no previously established predisposing risk factors. The patient was referred to our emergency department following a catastrophic fall down during exercise, resulting in severe ankle pain and deformity. The patient was treated with urgent reduction of the displacement and 6 weeks of immobilization by casting followed by intensive physiotherapy. Conclusion: At the end of the 3-month follow-up, no symptoms of instability were observed, and the patient could walk normally; at the 6-month follow-up, the patient could perform her sport activates similar to the initial level.

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Closed posterior ankle dislocation without associated fractures: a case report

Cited by 7 publications

References 5 publications

Isolated Posterior Medial Ankle Dislocation with Associated Os Trigonum Dislocation after Low-Energy Mechanism

Isolated Posterior Medial Ankle Dislocation with Associated Os Trigonum Dislocation after Low-Energy Mechanism

Luxação Fechada Pura do Tornozelo no Jiu-Jitsu

Pure Ankle Dislocation Treated With Casting and Early Range of Motions and Rehabilitation

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