Bilateral Posterior Fracture-Dislocation of the Shoulder Presenting as a Dissecting Aneurysm of the Thoracic Aorta: An Uncommon Presentation of a Rare Injury

<p class="abstract">Anterior ankle dislocation with associated compound bi-malleolar fracture is a rare injury. Ankle fracture dislocations most frequently occurs in young males caused by high energy trauma. The direction of the joint dislocation is determined by the position of the foot and the direction of the force being applied. A middle aged male presented to us with history of road traffic accident and was diagnosed to have anterior dislocation of right ankle joint with compound bi-malleolar fracture. Patient was taken to emergency operation theatre for wound debridement and immediate ankle reduction done under sedation. Due to wound contamination fracture fixation was delayed, once the wound healed bi-malleolar fracture fixation was done.</p>

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A rare injury to a rear seat passenger: bilateral fracture dislocation of the shoulders

BMJ Case Reports ◽

10.1136/bcr-2015-209992 ◽

2015 ◽

Vol 2015 (jun11 1) ◽

pp. bcr2015209992-bcr2015209992 ◽

Cited By ~ 1

Author(s):

S. Madi ◽

V. Pandey ◽

K. Acharya ◽

K. P. Peruvaje Ramakrishna

Keyword(s):

Rear Seat ◽

Fracture Dislocation ◽

Rare Injury ◽

Bilateral Fracture

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Delayed Peroneal Neuropathy After Bosworth Fracture Dislocation of the Ankle

Journal of the American Podiatric Medical Association ◽

10.7547/20-013 ◽

2021 ◽

Vol 111 (4) ◽

Author(s):

Sung Hoon Choi ◽

Jeong Min Hur ◽

Kyu-Tae Hwang

Keyword(s):

Soft Tissue ◽

Internal Fixation ◽

Closed Reduction ◽

Open Reduction ◽

Fracture Dislocation ◽

Tibial Tubercle ◽

Proximal Fragment ◽

Rare Injury ◽

Soft Tissue Swelling ◽

Severe Soft Tissue

The Bosworth ankle fracture-dislocation is a rare injury and is often irreducible because of an entrapped proximal fragment of the fibula behind the posterior tibial tubercle. Repeated closed reduction or delayed open reduction may result in several complications. Thus, early open reduction and internal fixation enable a better outcome by minimizing soft-tissue damage. We report on a 27-year-old man who underwent open reduction and internal fixation after multiple attempts at failed closed reduction, complicated by severe soft-tissue swelling, rhabdomyolysis, and delayed peroneal nerve palsy around the ankle.

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Dissecting aneurysm (Shekleton’s) of the thoracic aorta, extending to the termination of the common iliacs

Dublin Journal of Medical Science ◽

10.1007/bf02968947 ◽

1885 ◽

Vol 80 (4) ◽

pp. 276-286

Author(s):

J. Magee Finny

Keyword(s):

Thoracic Aorta ◽

Dissecting Aneurysm ◽

The Common

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Transverse translunate fracture–dislocation: A rare injury

Hand Surgery and Rehabilitation ◽

10.1016/j.hansur.2016.02.008 ◽

2016 ◽

Vol 35 (3) ◽

pp. 220-224

Author(s):

S. Mahjoub ◽

B. Dunet ◽

P. Thoreux ◽

A.C. Masquelet

Keyword(s):

Fracture Dislocation ◽

Rare Injury

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Fracture Dislocation of the Ankle in a High School Football Player: A Case Study

Journal of Sport Rehabilitation ◽

10.1123/jsr.4.1.54 ◽

1995 ◽

Vol 4 (1) ◽

pp. 54-58

Author(s):

Michael J. Carroll

Keyword(s):

High School ◽

Range Of Motion ◽

Football Player ◽

Contralateral Side ◽

Fracture Site ◽

Fracture Dislocation ◽

High School Football ◽

Rare Injury ◽

Subtalar Dislocation ◽

Affected Side

Dislocation with an associated fracture of the ankle is a rare injury. A medial dislocation of the subtalar joint is uncommon, because the normal direction of the subtalar dislocation is lateral. This paper discusses a fracture medial dislocation of the ankle in a high school football player. Initial treatment of the injury included on-the-field management and referral to a hospital and an orthopedic surgeon. Rehabilitation of this injury was very slow and conservative in the initial stage after surgery. This included range of motion exercises for the ankle, full leg conditioning, and ice. After the fracture site was found stable the injury was treated much the same as a Grade II ankle sprain. The goal of rehabilitation was to return the range of motion, strength, and girth measurements of the affected side to those of the contralateral side as quickly as possible, so the athlete could resume athletics. When the affected side met these criteria, there was little to no pain with activity, and the orthopedic physician granted clearance, the athlete was allowed to return to competition.

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