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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

Final radiographic views at 1-year follow-up (A, B).
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Figure 0003: Final radiographic views at 1-year follow-up (A, B).

Mentions: After 8 weeks, the lower extremity cast was removed and the patient was followed with standard and stress radiographic views. At that time, there were no signs of instability and the range of motion of the right ankle was satisfactory and painless. The American Orthopedic Foot and Ankle Society (AOFAS) score was 77/100. The patient was then allowed to full weight-bearing status without the use of additional cast applications. One year after the initial injury, the radiological findings were negative for any signs of osteonecrosis or early signs of ankle arthritis (Fig. 3). The right ankle was pain-free with similar range of plantarflexion and dorsiflexion as compared to the left ankle [plantarflexion: 0–44° (right), 0–46° (left)/dorsiflexion: 0–15° (right), 0–16° (left)]. The AOFAS score at the 1 year follow-up was increased to 90/100.


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)

Final radiographic views at 1-year follow-up (A, B).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0003: Final radiographic views at 1-year follow-up (A, B).
Mentions: After 8 weeks, the lower extremity cast was removed and the patient was followed with standard and stress radiographic views. At that time, there were no signs of instability and the range of motion of the right ankle was satisfactory and painless. The American Orthopedic Foot and Ankle Society (AOFAS) score was 77/100. The patient was then allowed to full weight-bearing status without the use of additional cast applications. One year after the initial injury, the radiological findings were negative for any signs of osteonecrosis or early signs of ankle arthritis (Fig. 3). The right ankle was pain-free with similar range of plantarflexion and dorsiflexion as compared to the left ankle [plantarflexion: 0–44° (right), 0–46° (left)/dorsiflexion: 0–15° (right), 0–16° (left)]. The AOFAS score at the 1 year follow-up was increased to 90/100.

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