title: Open medial dislocation of the ankle without fracture.
abstract: A 20-year-old man sustained an open medial dislocation of the ankle without an associated fracture after a low-energy inversion injury. Prompt debridement and reduction with primary wound closure of the skin were performed without suture of the capsule. Immobilisation in a non-weight-bearing cast for 30 days followed by ankle bracing for two weeks and subsequent physiotherapy, produced full functional recovery by three months. At follow-up at one year there was a full range of pain-free movement, although the radiographs and MR scan showed early post-traumatic degenerative change at the medial aspect of the tibiotalar and the calcaneocuboid joints.
authors.affiliation: Department of Orthopaedic Surgery, University of Rome Tor Vergata, Oxford Street 81, 00133 Rome, Italy. umberto.tarantino@uniroma2.it
authors.forename: U
authors.initials: U
authors.lastname: Tarantino
authors.forename: G
authors.initials: G
authors.lastname: Cannata
authors.forename: E
authors.initials: E
authors.lastname: Gasbarra
authors.forename: L
authors.initials: L
authors.lastname: Bondi
authors.forename: M
authors.initials: M
authors.lastname: Celi
authors.forename: R
authors.initials: R
authors.lastname: Iundusi
mesh_terms: D000328:Adult; D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000628:therapy*; D002370:Casts, Surgical; D003646:Debridement; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000628:therapy*; D022125:Lacerations / Q000628:therapy*; D008023:Ligaments, Articular / Q000293:injuries*; D008297:Male; D011859:Radiography; D012867:Skin / Q000293:injuries; D016896:Treatment Outcome; D016474:Weight-Bearing / Q000502:physiology