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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

Post-reduction radiographic views with splint application (A, B).
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Figure 0002: Post-reduction radiographic views with splint application (A, B).

Mentions: The closed reduction was achieved by axial traction of the calcaneus with one hand while the other hand was placed at the dorsal aspect of the midfoot with the foot held in slight plantarflexion for a couple of minutes, followed by lateral compression and external rotation of the talus and, finally, dorsiflexion of the foot in a way to redirect the articular line of the ankle joint. The attempt was successful and confirmed with radiographic imaging after the closed reduction (Fig. 2). Maintenance of reduction was accomplished with a posterior ankle splint while the patient remained at the hospital for observation. General measures for pain and edema of the closed reduction included elevation of the right lower extremity, ice therapy, oral analgesic and non-weight bearing status to the right foot. After 3 days of hospitalization, the patient was discharged without any complications. Ten days later, the edema had subsided significantly, the splint was changed to a cast and partial weight-bearing was allowed for 5 weeks followed by full weight bearing for the next 3 weeks.


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)

Post-reduction radiographic views with splint application (A, B).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0002: Post-reduction radiographic views with splint application (A, B).
Mentions: The closed reduction was achieved by axial traction of the calcaneus with one hand while the other hand was placed at the dorsal aspect of the midfoot with the foot held in slight plantarflexion for a couple of minutes, followed by lateral compression and external rotation of the talus and, finally, dorsiflexion of the foot in a way to redirect the articular line of the ankle joint. The attempt was successful and confirmed with radiographic imaging after the closed reduction (Fig. 2). Maintenance of reduction was accomplished with a posterior ankle splint while the patient remained at the hospital for observation. General measures for pain and edema of the closed reduction included elevation of the right lower extremity, ice therapy, oral analgesic and non-weight bearing status to the right foot. After 3 days of hospitalization, the patient was discharged without any complications. Ten days later, the edema had subsided significantly, the splint was changed to a cast and partial weight-bearing was allowed for 5 weeks followed by full weight bearing for the next 3 weeks.

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