Upward closed talocrural dislocation without fracture
Bah Aliou, Beaudouin Emmanuel
The Pan African Medical Journal. ;26:179. doi:10.11604/pamj..26.179.9562

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Images in clinical medicine

Upward closed talocrural dislocation without fracture

Bah Aliou, Beaudouin Emmanuel
Pan Afr Med J. 2017; 26:179. doi:10.11604/pamj.2017.26.179.9562. Published 29 Mar 2017



The ankle dislocations are very rare, around 1% of all dislocations. It is usually a fracture-dislocation. The talocrural dislocations are exceptional. We report a case about a 63 years male, carpenter, who fell off the stairs leading to an axial compression trauma of his left ankle. In clinical examination, we found a deformation of his ankle without sensory or vascular deficit. This trauma was closed. The x-rays (A, with arrow) found upward talocrural dislocation without fracture. Immediate reduction was performed. The articulation was still incoercible and unstable. We set up two 3.5 mm tri cortical screws in compression followed by six weeks of cast immobilization (B). After 6 weeks, an X-ray was performed where we noticed a decline off the screws (C, with arrow) without clinical impact. We proposed a removal of materiel, but he refused. After 36 months of follow up, functional results were satisfactory.


Corresponding author:
Bah Aliou, Orthopedic and Trauma Surgery Department at Chambery Hospital Metropole Savoie, France
alioubah5@gmail.com

©Bah Aliou et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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