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]

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]

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]

Despite initial presentation that revealed lack of posterior tibial pulse, the post‐surgical course was uneventful, with full functional recovery and joint mobility. [onlinelibrary.wiley.com]

• Pain

  You may use over-the-counter pain medicine to control pain, unless another pain medicine was prescribed. [fairview.org]

  The R.I.C.E regime is beneficial in the initial phase of the injury (first 72 hours) or when inflammatory signs are present (i.e. morning pain or pain with rest). [physioadvisor.com.au]

  SLIDESHOW Pain-Relief Tips for Bumps, Bruises, Sprains, and Strains in Pictures See Slideshow Symptom of Dislocated Ankle Ankle Pain Pain in the ankle can result from inflammation or injury to any of the structures in this region, including the bones, [medicinenet.com]

  Call your healthcare provider right away if your pain is getting worse instead of better. Let your provider know if you have any numbness or swelling in your leg, or a high fever. [urmc.rochester.edu]

• Swelling

  Ice helps prevent tissue damage and decreases swelling and pain. Compress your ankle: You may need to wrap an elastic bandage around your ankle. An ankle wrap will compress (put pressure on) your ankle to help decrease swelling. [drugs.com]

  Ankle dislocations cause pain and swelling. Sometimes the ankle gets discolored. The area will look deformed. Ankle dislocations often occur with sprains and sometimes with breaks or fractures. [fairview.org]

  The rapid swelling following ankle dislocation can compress the blood vessels and nerves running around the ankle. If the swelling is not relieved quickly, loss of blood supply can result in complications in the toes and foot. [orthoanswer.org]

  Let your provider know if you have any numbness or swelling in your leg, or a high fever. Call 911 if you have any sudden, severe symptoms, such as sudden shortness of breath. [urmc.rochester.edu]

• Inflammation

  When the ankle dislocates, blood supply to the cartilage that lines the bone within the joint may be damaged, eventually leading to arthritis (arthro=joint + it is=inflammation). [medicinenet.com]

  Modalities including the use of ultrasound, electrical stimulation, ice, cold laser and others to decrease pain and inflammation at the ankle and tendons. [twinboro.com]

  Injury to the Achilles tendon, the strongest and largest tendon that connects the back of the calf muscle to the heel bone, occurs from overuse and is usually an acute inflammation or a partial tear. [ucsfhealth.org]

  Applying ice to the area is also an important aspect of recovery as it will minimise any swelling and inflammation of the area. [firstaid4sport.co.uk]

  Inflamm Res 2005 ;54:358–66. Crossref, Medline, ISI, Google Scholar 5 Rivera F, Bertone C, De Martino M, Pietrobono D, Ghisellini F. Pure dislocation of the ankle: three case reports and literature review. Clin Orthop 2001 ;382:179–84. [online.boneandjoint.org.uk]

• Ecchymosis

  Symptoms Pain which can be severe at the time of injury Inability to walk, stand or bear body weight Swelling which may get aggravated with time Limping Visible deformity Numbness Pins and needles sensation Redness of skin or warmth around the ankle Ecchymosis [orthotexas.com]

  There was moderate left ankle swelling with associated medial ecchymosis and a 2 cm medial fracture blister. Pulses were weakly palpable, but the foot was warm and the capillary refill was brisk. Gross motor was intact. [www2.aoao.org]

  There is almost immediate swelling of the ankle joint area and ecchymosis ( bruising ) may occur quickly. Depending upon the mechanism of injury, there can be associated other injuries of the foot, knee, or spine. [medicinenet.com]

  The ankle was swollen and deformed with tenderness and ecchymosis around the joint line. There was no open wound nor signs of neurovascular injury. [omicsonline.org]

• Surgical Procedure

  With a team of renowned doctors, it offers consultations and surgical procedures in an environment of excellence for all ocular pathologies. [swissmedical.net]

  According to the authors, even in the case of a catastrophic complication, this technique ensures adequate bone stock for additional surgical procedures. [emedicine.medscape.com]

  As stated in the surgical procedure section, EC gel was used for the adhesion of small fracture fragments connected with the articular surface. [bmcsurg.biomedcentral.com]

• Thrombosis

  You have signs of a blood clot in your leg (called a deep vein thrombosis), such as: Pain in your calf, back of the knee, thigh, or groin. Redness or swelling in your leg. [myhealth.alberta.ca]

• Hip Pain

  Read Also: Dislocated Knee: Everything You Need To Know What Can Cause Pain At The Back Of The Knee Lower Back and Hip Pain: All You Need To Know? What Are Bones Made Of? How helpful was this post? We are sorry that this post was not helpful to you! [25doctors.com]

• Contusion

  A bruise is also known as a contusion. Reviewed on 2/12/2019 References Keany, James. "Ankle Dislocation in Emergency Medicine." Apr. 28, 2016.. [emedicinehealth.com]

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

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]

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]

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]

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]

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]

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 incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Med. 2014 Jan;44(1):123-40. [danielebarnabei.it]

"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]

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]

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]

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]

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

Prevention of Lateral Ankle Sprains. J Athl Train. 2019 Jun;54(6):650-661. [danielebarnabei.it]

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]

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]

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]