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Isolated tibiotarsal dislocation: A case report
Zeddouk Hassan1, Boufettal Moncef1, Rida-Allah Bassir1
1Orthopedic Surgery & Traumatology, University Mohammed V, Ibn Sina Hospital, Rabat, Morocco.
Trauma Case Reports
|July 23, 2025
Summary
This case study details a rare tibio-tarsal dislocation in a pregnant woman, successfully treated with closed reduction and rehabilitation. Early intervention ensured a full recovery with no pain or instability.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Emergency Medicine
Background:
- Isolated tibio-tarsal dislocations are rare, typically resulting from high-energy trauma and often accompanied by fractures.
- Management challenges arise in specific patient populations, such as pregnant women.
Observation:
- A 28-year-old pregnant patient sustained a closed posterior tibio-tarsal dislocation from a low-energy incident (tree falling on foot).
- The injury occurred during a period of strong winds.
Findings:
- Successful treatment involved closed, non-surgical reduction and immobilization.
- The patient achieved excellent functional recovery six months post-treatment, with no pain or instability and a good range of motion.
- Radiographic assessment presented unique challenges due to the patient's pregnancy.
Implications:
- This case highlights the possibility of isolated tibio-tarsal dislocations from seemingly low-energy mechanisms.
- Emphasizes the critical role of prompt reduction and comprehensive rehabilitation in achieving optimal outcomes.
- Underscores the need for careful consideration of diagnostic imaging techniques in pregnant patients with lower extremity injuries.
