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Conservative treatment of an anterior-lateral ankle dislocation without an associated fracture in a diabetic patient: a case report.

Karampinas PK, Stathopoulos IP, Vlamis J, Polyzois VD, Pneumatikos SG - Diabet Foot Ankle (2012)

Bottom Line: Anterior or anterior-lateral dislocation of the ankle is a rare condition that can be treated conservatively as well as any other similar types of ankle dislocations without associated fractures.At the patient's visit 12 months after the initial injury, he was asymptomatic with full range of motion of the ankle joint.To our knowledge, we could not identify this type of an injury in a diabetic patient that was treated successfully with conservative treatment in the existing literature.

View Article: PubMed Central - PubMed

Affiliation: 3rd Orthopaedic Department, University of Athens, KAT General Hospital, Athens, Greece.

ABSTRACT
Anterior or anterior-lateral dislocation of the ankle is a rare condition that can be treated conservatively as well as any other similar types of ankle dislocations without associated fractures. We present a case report of an anterior-lateral ankle dislocation with a concomitant avulsion injury of the ankle's anterior capsule in a diabetic patient that was treated conservatively. At the patient's visit 12 months after the initial injury, he was asymptomatic with full range of motion of the ankle joint. To our knowledge, we could not identify this type of an injury in a diabetic patient that was treated successfully with conservative treatment in the existing literature.

No MeSH data available.


Related in: MedlinePlus

Radiographic ankle views at the initial presentation showing the anterior-lateral dislocation of the ankle (A, B).
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Figure 0001: Radiographic ankle views at the initial presentation showing the anterior-lateral dislocation of the ankle (A, B).

Mentions: Upon initial inspection, there was moderate edema of the right ankle region and obvious anterior-lateral dislocation of the talus with the forefoot in line. The right foot had normal skin temperature, pedal pulses were palpable and there was slight hypoesthesia of the dorsal aspect in comparison to the contralateral foot. Further clinical examination was impossible due to the patient's level of discomfort. The initial plain radiographs (anteroposterior and lateral views of the ankle joint) confirmed the diagnosis of talar dislocation, but also the absence of any fracture (Fig. 1). Owing that there was no fracture and major neurovascular trauma, an attempt of closed reduction was performed at the emergency department at approximately 1½ hours after the injury.


Conservative treatment of an anterior-lateral ankle dislocation without an associated fracture in a diabetic patient: a case report.

Karampinas PK, Stathopoulos IP, Vlamis J, Polyzois VD, Pneumatikos SG - Diabet Foot Ankle (2012)

Radiographic ankle views at the initial presentation showing the anterior-lateral dislocation of the ankle (A, B).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3369671&req=5

Figure 0001: Radiographic ankle views at the initial presentation showing the anterior-lateral dislocation of the ankle (A, B).
Mentions: Upon initial inspection, there was moderate edema of the right ankle region and obvious anterior-lateral dislocation of the talus with the forefoot in line. The right foot had normal skin temperature, pedal pulses were palpable and there was slight hypoesthesia of the dorsal aspect in comparison to the contralateral foot. Further clinical examination was impossible due to the patient's level of discomfort. The initial plain radiographs (anteroposterior and lateral views of the ankle joint) confirmed the diagnosis of talar dislocation, but also the absence of any fracture (Fig. 1). Owing that there was no fracture and major neurovascular trauma, an attempt of closed reduction was performed at the emergency department at approximately 1½ hours after the injury.

Bottom Line: Anterior or anterior-lateral dislocation of the ankle is a rare condition that can be treated conservatively as well as any other similar types of ankle dislocations without associated fractures.At the patient's visit 12 months after the initial injury, he was asymptomatic with full range of motion of the ankle joint.To our knowledge, we could not identify this type of an injury in a diabetic patient that was treated successfully with conservative treatment in the existing literature.

View Article: PubMed Central - PubMed

Affiliation: 3rd Orthopaedic Department, University of Athens, KAT General Hospital, Athens, Greece.

ABSTRACT
Anterior or anterior-lateral dislocation of the ankle is a rare condition that can be treated conservatively as well as any other similar types of ankle dislocations without associated fractures. We present a case report of an anterior-lateral ankle dislocation with a concomitant avulsion injury of the ankle's anterior capsule in a diabetic patient that was treated conservatively. At the patient's visit 12 months after the initial injury, he was asymptomatic with full range of motion of the ankle joint. To our knowledge, we could not identify this type of an injury in a diabetic patient that was treated successfully with conservative treatment in the existing literature.

No MeSH data available.


Related in: MedlinePlus