Irreducible fracture-dislocation of the ankle caused by an entrapped medial malleolus at the syndesmosis.
A 55-year-old fisherman sustained an unusual and irreducible fracture-dislocation of the ankle joint. An entrapped medial malleolar fragment was discovered by computed tomography between the distal tibia and lateral malleolus. The fragment was removed during an emergent open reduction, during which deltoid ligament repair and internal fixation of the bimalleolar fracture were undertaken. At the 18-month follow-up visit, the patient was working normally and was asymptomatic. At previous visits, he demonstrated a full range of ankle motion and had normal radiograph.
Lee
Bong-Jin
BJ
Department of Orthopaedic Surgery, Cheju Halla General Hospital, Jeju, Republic of Korea.
Lee
Sung-Rak
SR
Kim
Seong-Tae
ST
Park
Woo-Sung
WS
Kim
Tae-Ho
TH
Park
Kwon-Hee
KH
D016512:Ankle Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D000843:Ankle Joint / Q000601:surgery*; D001858:Bone Nails; D005360:Fibula / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D011859:Radiography