Ankle fracture-dislocation

Case contributed by Dr Henry Knipe

Presentation

Fall.

Patient Data

Age: 75 years
Gender: Male
X-ray
Posterior dislocation of the talus in comparison to the tibia. Distal fibular fracture with posterior angulation/displacement. Posterior malleolus fracture is not well seen.
CT

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. 

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Case information

rID: 57240
Published: 11th Jan 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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