title: Fatal complication following pure ankle dislocation in a domestic setting: case report and review of the literature.
abstract: Pure ankle dislocation is a rare event that primarily results from high-energy trauma. Predisposing anatomical factors such as talar hypoplasia, ligament laxity, and previous sprains may play a key role. This report presents the case of a 55-year-old man with fatal anterior and posterior tibial artery tears following a pure anterolateral dislocation of the right ankle. To the best of our knowledge, no such cases have previously been reported in the English-language literature.
authors.affiliation: Institute of Public Health, section of Legal Medicine, Catholic University of the Sacred Heart, Rome, Italy. fabio.degiorgio@unicatt.it.
authors.forename: Fabio
authors.initials: F
authors.lastname: De-Giorgio
authors.affiliation: Institute of Public Health, section of Legal Medicine, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Marchese
authors.affiliation: Risk Management Unit, BAT ASL, Barletta Andria Trani, Italy.
authors.forename: Mara
authors.initials: M
authors.lastname: Masullo
authors.affiliation: Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Cagliari, Italy.
authors.forename: Ernesto
authors.initials: E
authors.lastname: d'Aloja
authors.affiliation: Department of Orthopedic & Traumatology Surgery, Universal Hospital, Sheikh Rashid Bin Saeed St, Al Musalla, Abu Dhabi, United Arab Emirates.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Izzo
authors.affiliation: Casa di Cura Villa Betania, Rome, Italy.|Marrelli Hospital, Crotone, Italy.
authors.forename: Simone
authors.initials: S
authors.lastname: Cerciello
mesh_terms: D016512:Ankle Injuries / Q000150:complications*; D000067401:Blood Alcohol Content; D058734:Exsanguination / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D004204:Joint Dislocations / Q000150:complications*; D008297:Male; D008875:Middle Aged; D016909:Tibial Arteries / Q000293:injuries*
chemical_list: D000067401:Blood Alcohol Content
keywords: Domestic setting; Forensic autopsy; Pure ankle dislocation; Tibial artery