Irreducible Ankle Fracture-Dislocation Due to Tibialis Anterior Subluxation: A Case Report

2015 ◽  
Vol 54 (2) ◽  
pp. 268-272 ◽  
Author(s):  
Roman M. Natoli ◽  
Hobie D. Summers
2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Yinshuan Deng ◽  
Chenhui Dong ◽  
Xiaojie Yang ◽  
Rui Liu ◽  
Feiyi Hou ◽  
...  

High-energy trauma can cause transsyndesmotic ankle fracture dislocation. These fractures are quite rare. Here we present a clinical case of a male patient with this type of injury. A systematic review of PubMed, Ovid MEDLINE, and Embase electronic databases revealed only two prior publications on a similar topic. We discuss the typical clinical features of these injuries, the treatment of high-energy trauma which can cause transsyndesmotic ankle fracture dislocation, and its prognosis.


2017 ◽  
Vol 10 (6) ◽  
pp. 572-577 ◽  
Author(s):  
Richard M. Wardell ◽  
Andrew E. Hanselman ◽  
Scott D. Daffner ◽  
Robert D. Santrock

Ankle fractures with an associated posterior tibialis tendon (PTT) rupture are rare injuries and have only been described in a number of case reports. These prior reports include patients that had an open fracture and/or an associated medial malleolar fracture component. In this unique case report, we present a patient that sustained a closed bimalleolar-equivalent ankle fracture/dislocation without medial malleolar involvement which was irreducible due to a PTT rupture and subsequent distal segment interposition in the tibiotalar joint. Identification of acute PTT rupture with associated ankle fracture is important because early repair is associated with significantly better functional outcomes compared with late repair. These injury patterns may easily be missed due to the limitations with physical examination and standard imaging often encountered during initial evaluation of routine ankle fractures. Therefore, physicians should maintain a high level of suspicion in the appropriate clinical setting in order to provide appropriate diagnosis and timely surgical intervention. Levels of Evidence: Descriptive, Level V: Single case report


2015 ◽  
Vol 14 ◽  
pp. 125-128 ◽  
Author(s):  
Aysha Rajeev ◽  
Mhairi McDonald ◽  
Mike Newby ◽  
Paul Patterson

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