title: Unusual upward closed tibiotalar dislocation without fracture: A case report.
abstract: Pure tibiotalar dislocations without associated fracture are rare. The authors report a case of an unusual closed tibiotalar dislocation without fracture, involving proximal ascension of the talus. Despite immediate closed reduction, a tibiofibular diastasis remained, therefore two syndesmosis screws were inserted, followed by six weeks of plaster casting. After 5 years of follow-up, functional results were excellent, MRI showed slight arthritic degenerative changes.
authors.affiliation: Department of Orthopaedic Surgery and Traumatology, Brugmann University Hospital, 4, Place Van Gehuchten, 1020 Brussels, Belgium. guyve.lamraski@chu-brugmann.be
authors.forename: Guyve
authors.initials: G
authors.lastname: Lamraski
authors.forename: Emilie
authors.initials: E
authors.lastname: Clegg
mesh_terms: D000058:Accidental Falls; D000328:Adult; D016512:Ankle Injuries / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D050723:Fractures, Bone; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D008349:Manipulation, Orthopedic / Q000379:methods; D011859:Radiography; D013628:Talus / Q000293:injuries*; D013977:Tibia / Q000293:injuries*