Advertisement

Vertical dislocation of the talus without malleolar fractures

  • K. Kaneko
  • T. Muta
  • A. Mogami
  • S. Uta
  • Y. Maruyama
  • Y. Shimamura
  • H. Iwase
Case reports

Abstract

We report an unusual case of open vertical dislocation of the talus without malleolar fracture following motor vehicle accident.

Most previously reported cases are medial, lateral, posteromedial and posterior dislocations. The anterolateral, posterolateral, and purely superior dislocations of the talus make up smaller a percentage. The mechanism of this injury appears to be forced eversion of the foot when it is maximally plantar flexed and axially loaded.

Our case has treated by open reduction of the talus and anatomical repair of the disrupted deltoid ligament at the time of initial incision and open reduction with internal fixation of the calcaneus also achieved good long-term functional and radiographic results.

Key words

Ankle dislocation Fracture 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Colville MR, Colville JM, Maroni II A (1987) Posteromedial dislocation of the ankle without fracture. J Bone Joint Surg 69A: 706–711Google Scholar
  2. 2.
    Elise S, Maynou C, Mestdagh H, Forgeois P, Labourdette P (1998) Simple tibiotalar luxation. A propos of 16 cases. Acta Orthop Belg 64: 25–34PubMedGoogle Scholar
  3. 3.
    Finkemeier C, Engebretsen L, Gannon J (1995) Tibial-talar dislocation without fracture: treatment principles and outcome. Knee Surg Sports Traumatol Arthrosc 3: 47–49PubMedGoogle Scholar
  4. 4.
    Garbuio P, Gerard F, Gagneux E. (1995) Pure dislocations of the tibio-talar joint. Pure dislocations of the tibio-talar joint. A propos of 9 cases. Rev Chir Orthop 81: 601–608PubMedGoogle Scholar
  5. 5.
    Moehring HD, Tan RT, Marder RA, Lian G (1994) Ankle dislocation. J Orthop Trauma 8: 167–172PubMedGoogle Scholar
  6. 6.
    Mooney JF, Naylor PT, Poehling GG (1991) Anterolateral ankle dislocation without fractures. South Med J 84: 244–247PubMedGoogle Scholar
  7. 7.
    Peraire A (1913) Luxation tibio-astragalienne avec issue à l'extérieur du péroné non fracturé à travers une boutonnière cutanée. Présentation de malade. Paris Chir 5: 959Google Scholar
  8. 8.
    Toohey JS, Worsing RA Jr (1989) A long-term follow-up study of tibiotalar dislocations without associated fractures. Clin Orthop 239: 207–210PubMedGoogle Scholar
  9. 9.
    Aehner J, Lorenz M (1990) Lateral ankle dislocation without fracture. J Orthop Trauma 4: 362–365PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2000

Authors and Affiliations

  • K. Kaneko
    • 1
  • T. Muta
    • 1
  • A. Mogami
    • 1
  • S. Uta
    • 1
  • Y. Maruyama
    • 1
  • Y. Shimamura
    • 1
  • H. Iwase
    • 1
  1. 1.Department of Orthopaedic and Taumatologic SurgeryJuntendo University Izunagaoka HospitalShizuokaJapan

Personalised recommendations