Upward closed talocrural dislocation without fracture
Bah Aliou, Beaudouin Emmanuel
The Pan African Medical Journal. 2017;26:179. doi:10.11604/pamj.2017.26.179.9562

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Images in medicine

Upward closed talocrural dislocation without fracture

Cite this: The Pan African Medical Journal. 2017;26:179. doi:10.11604/pamj.2017.26.179.9562

Received: 07/04/2016 - Accepted: 07/03/2017 - Published: 29/03/2017

Key words: Ankle dislocation, syndesmosis trauma, talocrural dislocation

© Bah Aliou et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/26/179/full

Corresponding author: Bah Aliou, Orthopedic and Trauma Surgery Department at Chambery Hospital Metropole Savoie, France (alioubah5@gmail.com)


Upward closed talocrural dislocation without fracture

Bah Aliou1,&, Beaudouin Emmanuel2

 

1Orthopedic and Trauma Surgery Department at Chambery Hospital Metropole Savoie, France, 2Hospital Practitioner in Orthopedic and Trauma Department at Chambery Hospital Metropole Savoie, France

 

 

&Corresponding author
Bah Aliou, Orthopedic and Trauma Surgery Department at Chambery Hospital Metropole Savoie, France

 

 

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The ankle dislocations are very rare, around 1% of all dislocations. It is usually a fracture-dislocation. The talocrural dislocations are exceptional. We report a case about a 63 years male, carpenter, who fell off the stairs leading to an axial compression trauma of his left ankle. In clinical examination, we found a deformation of his ankle without sensory or vascular deficit. This trauma was closed. The x-rays (A, with arrow) found upward talocrural dislocation without fracture. Immediate reduction was performed. The articulation was still incoercible and unstable. We set up two 3.5 mm tri cortical screws in compression followed by six weeks of cast immobilization (B). After 6 weeks, an X-ray was performed where we noticed a decline off the screws (C, with arrow) without clinical impact. We proposed a removal of materiel, but he refused. After 36 months of follow up, functional results were satisfactory.

 

 

Figure 1: (A) ankle X-ray showed the upward talocrural dislocation (white arrow); (B) X-ray after immediate reduction with two screws and immobilization with cast; (C) ankle X-ray showed the decline off screws (white Arrow)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved