Unusual upward closed tibiotalar dislocation without fracture: A case report

Abstract Pure tibiotalar dislocations without associated fracture are rare. The authors report a case of an unusual closed tibiotalar dislocation without fracture, involving proximal ascension of the talus. Despite immediate closed reduction, a tibiofibular diastasis remained, therefore two syndesmo...

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Bibliographic Details
Published in:Foot and ankle surgery 2010-06, Vol.16 (2), p.e44-e46
Main Authors: Lamraski, Guyve, M.D, Clegg, Emilie, M.D
Format: Article
Language:English
Subjects:
Accidental Falls
Adult
Ankle Injuries - diagnostic imaging
Ankle Injuries - etiology
Ankle Injuries - therapy
Female
Follow-Up Studies
Fractures, Bone
Humans
Joint Dislocations - diagnostic imaging
Joint Dislocations - etiology
Joint Dislocations - therapy
Manipulation, Orthopedic - methods
Orthopedics
Radiography
Syndesmosis
Talus - injuries
Tibia - injuries
Tibiofibular diastasis
Tibiotalar dislocation
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Summary:Abstract Pure tibiotalar dislocations without associated fracture are rare. The authors report a case of an unusual closed tibiotalar dislocation without fracture, involving proximal ascension of the talus. Despite immediate closed reduction, a tibiofibular diastasis remained, therefore two syndesmosis screws were inserted, followed by six weeks of plaster casting. After 5 years of follow-up, functional results were excellent, MRI showed slight arthritic degenerative changes.
ISSN:1268-7731
1460-9584
DOI:10.1016/j.fas.2009.10.012