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Published on: January 24, 2018
Unusual upward closed tibiotalar dislocation without fracture: A case report
1Department of Orthopaedic Surgery and Traumatology, Brugmann University Hospital, 4, Place Van Gehuchten, 1020 Brussels, Belgium. guyve.lamraski@chu-brugmann.be
Summary
Pure tibiotalar dislocations without fracture are rare. This case highlights successful management of a proximal talar dislocation with syndesmosis repair and casting, achieving excellent long-term function.
Area of Science:
- Orthopedics
- Traumatology
- Radiology
Background:
- Pure tibiotalar dislocations, without associated fractures, represent a rare category of ankle injuries.
- These injuries necessitate prompt and accurate management to optimize patient outcomes.
Observation:
- A unique case of a closed tibiotalar dislocation involving proximal talar ascension, without any associated fracture, is presented.
- Immediate closed reduction was performed, but a residual tibiofibular diastasis was noted.
Findings:
- Two syndesmosis screws were inserted to address the tibiofibular diastasis.
- The patient was managed with six weeks of plaster casting post-operatively.
- A 5-year follow-up revealed excellent functional results, with MRI demonstrating minimal arthritic degenerative changes.
Implications:
- This case underscores the importance of recognizing and managing rare ankle dislocations, even in the absence of fractures.
- Successful surgical intervention and immobilization can lead to favorable long-term functional recovery.
- Long-term monitoring is advisable to track potential degenerative changes post-injury and treatment.
