Presentation
Fall.
Patient Data
Age: 75 years
Gender: Male
From the case:
Ankle fracture-dislocation
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Frontal

Posterior dislocation of the talus in comparison to the tibia. Distal
fibular fracture with posterior angulation/displacement. Posterior malleolus
fracture is not well seen.
From the case:
Ankle fracture-dislocation
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Axial bone window

Displaced distal fibular fracture with mild posterior angulation/ displacement. Comminuted and moderately displaced posterior malleolus fracture with a large articular surface step. Medial malleolus avulsion fracture involving the deltoid ligament. Anterior subluxation of the tibia on the talus also with lateral talar shift. Associated soft tissue swelling.
Case Discussion
This is a severe injury that required internal fixation.