POSTERIOR DISLOCATION ( FIGURE 67.1 ) Usually result of forced plantar flexion or a strong forward force applied to the posterior tibia Most are associated with a fracture of one or more malleoli Presents with the ankle held in plantar flexion with foot [aneskey.com]

Information presented as part of this activity is intended solely as continuing medical education and is not intended to promote off-label use of any pharmaceutical product. [ebmedicine.net]

In majority of reported case it presents as an open injury making the closed injury more rare presentation. The stability of the ankle joint depends on medial and lateral ligaments. [ncbi.nlm.nih.gov]

A case report is presented below to help accurately diagnose and treat the Bosworth ankle fracture-dislocation. [www2.aoao.org]

Fig. 1 Photograph showing the open dislocation of the ankle at presentation. Fig. 2 Anteroposterior radiograph showing the medial dislocation of the right ankle at presentation. Fig. 3 Anteroposterior radiograph immediately after reduction. [online.boneandjoint.org.uk]

While these treatment methods have been documented through a written format, a formal treatment algorithm has yet to be developed. [livingstonpodiatry.com]

Operative treatment of ankle fracture-dislocations. A follow-up study of 306/321 consecutive cases. Posteromedial dislocation of the ankle without fracture. [wheelessonline.com]

Bohler L. the treatment of Fractures, English ed. 4, William Wood Publishers, Baltimore; 1936: 453. Giordana CP, Koval KJ. Treatment of fracture blisters: a prospective study of 53 cases. Orthop Trauma. 1995;9:171-6. Saied A, Ziayie A. [ijoro.org]

Patients receive treatment at Yale-New Haven Hospital--a nationally recognized Level I Trauma Center. [yalemedicine.org]

Preferred Name Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation Synonyms Open reduction of dislocation of ankle ID http://purl.bioontology.org/ontology/CPT/27846 altLabel Open reduction [bioportal.bioontology.org]

Prognosis of an Dislocated Ankle The prognosis of an ankle dislocation depends on the amount of damage to the ankle. If there is any joint cartilage damage, it predisposes the ankle to development of arthritis. [footankleinstitute.com]

[…] capsular structures is often severe, and the risk of infection secondary to open injury is often significant; however, prompt reduction and, when warranted, operative debridement and repair usually lead to excellent functional recovery and long-term prognosis [emedicine.medscape.com]

To date, there has been no precedent for accurate descriptions of the mechanisms, optimum treatment, and long-term prognosis of this injury. Our goal was to evaluate these variables by a retrospective review of cases from our institution. [ncbi.nlm.nih.gov]

However, early reduction, young age, and the absence of vascular and neuronal injury were associated with a better overall prognosis in our case. [onlinelibrary.wiley.com]

Prognosis Most people recover full function following a course of conservative care of physical therapy to strengthen and stabilize the ankle following the immobilization period. [twinboro.com]

A=initial encounter, D=subsequent encounter, S=sequela Ankle Dislocation ICD-9 837.0(closed), 837.1(open) Ankle Dislocation Etiology / Epidemiology / Natural History Ankle Dislocation Anatomy Ankle Dislocation Clinical Evaluation Ankle Dislocation Xray [eorif.com]

Background & Etiology (Cause) The ankle is made of two joints. These joints need to be strong because they support the weight of the entire body. The ankle is one of the most versatile joint complexes in the body. [twinboro.com]

A=initial encounter, D=subsequent encounter, S=sequela Ankle Dislocation ICD-9 837.0(closed), 837.1(open) Ankle Dislocation Etiology / Epidemiology / Natural History Ankle Dislocation Anatomy Ankle Dislocation Clinical Evaluation Ankle Dislocation Xray [eorif.com]

"The Epidemiology of Finger Dislocations Presenting for Emergency Care Within the United States". HAND. 11 (2): 192–6. doi : 10.1177/1558944715627232. PMC 4920528. [en.wikipedia.org]

Epidemiology Associated fractures are the rule rather than the exception with ankle dislocations. Ligamentous disruption varies according to the type of dislocation. (See Ankle Injury, Soft Tissue .) [emedicine.medscape.com]

The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. Am J Sports Med 1977 ; 5 : 241 –2. ↵ Elise S, Maynou C, Mestdagh H, et al. Les luxations tibio-astragaliennes pures a propos de 16 observations. [bjsm.bmj.com]

Garrick JG (1977) The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. Am JSports Med 5:241-242. Kelly PJ, Peterson LF (1962) Compound dislocation of the ankle without fracture. Am JSurg103:170-172. [omicsonline.org]

Dislocation of Ankle Relevant Anatomy of Ankle Joint and Pathophysiology The ankle joint is formed by distal part of the tibia including medial malleolus and the distal part of the fibula called lateral malleolus which articulates with talus bone. [boneandspine.com]

An external fixator was used to stabilize the limb. [5] Pathophysiology The ankle joint is designed for a balance of stability and flexibility, particularly the former. [emedicine.medscape.com]

Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability. J Athl Train. 2002 Dec;37(4):364-375. Jeffrey D Tiemstra. Update on acute ankle sprains. Am Fam Physician. 2012 Jun 15;85(12):1170-6. [danielebarnabei.it]

Is it possible to prevent a dislocated ankle? A dislocated ankle is an accidental injury and most often cannot be prevented. [medicinenet.com]

Crutches help you keep your weight off your ankle, and help prevent more ankle damage. Physical therapy: A physical therapist teaches you exercises to help improve movement and strength, and to decrease pain. [drugs.com]

Within the first few months of returning to training, stretching exercises may be performed to keep the area stable and strong and can also help prevent the injury reoccurring. [firstaid4sport.co.uk]

Prevent recurrent injuries Athletes who have experienced ankle injuries previously may benefit from using a brace or tape to prevent recurrent ankle injuries. [ucsfhealth.org]

A medical team’s first responsibility is to reduce the dislocation to prevent further damage to the soft tissues and to realign the bones. The ankle will be splinted and immobilized to prevent further injury. [liveactivesportmed.com]