title: Irreducible fracture-dislocation of the ankle caused by an entrapped medial malleolus at the syndesmosis.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery, Cheju Halla General Hospital, Jeju, Republic of Korea.
authors.forename: Bong-Jin
authors.initials: BJ
authors.lastname: Lee
authors.forename: Sung-Rak
authors.initials: SR
authors.lastname: Lee
authors.forename: Seong-Tae
authors.initials: ST
authors.lastname: Kim
authors.forename: Woo-Sung
authors.initials: WS
authors.lastname: Park
authors.forename: Tae-Ho
authors.initials: TH
authors.lastname: Kim
authors.forename: Kwon-Hee
authors.initials: KH
authors.lastname: Park
mesh_terms: 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