Original article | Volume 26, Article 179, 29 Mar 2017 | 10.11604/pamj.2017.26.179.9562

Upward closed talocrural dislocation without fracture

Bah Aliou, Beaudouin Emmanuel

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

Received: 07 Apr 2016 - Accepted: 07 Mar 2017 - Published: 29 Mar 2017

Domain: Clinical medicine

Keywords: Ankle dislocation, syndesmosis trauma, talocrural dislocation

©Bah Aliou et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Bah Aliou et al. Upward closed talocrural dislocation without fracture. Pan African Medical Journal. 2017;26:179. [doi: 10.11604/pamj.2017.26.179.9562]

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

Home | Volume 26 | Article number 179

Original article

Upward closed talocrural dislocation without fracture

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)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Upward closed talocrural dislocation without fracture

Original article

Upward closed talocrural dislocation without fracture

Original article

Upward closed talocrural dislocation without fracture

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Ankle dislocation

Syndesmosis trauma

Talocrural dislocation

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