Open posteromedial dislocation of ankle without associated fractures

Authors

  • Saipramod Yadlapalli Department of Orthopaedics, Kamineni Hospitals, Vijayawada, Andhra Pradesh, India
  • Bezawada Paparao Department of Orthopaedics, Kamineni Hospitals, Vijayawada, Andhra Pradesh, India
  • Guruvardhan Kumar Venkata Kotha Department of Orthopaedics, Kamineni Hospitals, Vijayawada, Andhra Pradesh, India
  • Praveen Elaprolu Department of Radiodiagnosis, Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20213391

Keywords:

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

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.

Author Biography

Saipramod Yadlapalli, Department of Orthopaedics, Kamineni Hospitals, Vijayawada, Andhra Pradesh, India

consultant, department of orthopaedics , kamineni hospitals , vijayawada, andhra pradesh, india.

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.

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Published

2021-08-25