PURE CLOSED TIBIOTALAR DISLOCATION IN A YOUNG ATHLETE: ABOUT A CASE WITH REVIEW OF THE LITERATURE
*Ismail Kabbaj, Tarik Ahuary, Jalal Mekkaoui, Moncef Boufettal, Reda-Allah Bassir, Mohamed Kharmaz, Moulay Omar Lamrani and Mohamed Saleh Berrada
ABSTRACT
Pure tibial-talar dislocation without associated lesions is a rare trauma due to the anatomy of the area. The internal and posterior varieties are the most frequent. Standard radiology is sufficient to make the diagnosis. The authors report the observation of an isolated tibio-talar dislocation without skin opening in a 29-year-old patient, following a sport’s accident (running) with internal displacement. The vasculo-nervous examination was normal after reduction by external maneuver, under general anesthesia. Intraoperative testing found a stable ankle; immobilization was provided by a cast boot for eight weeks. After an 18-month follow-up, the functional results were excellent, without signs of instability or osteoarthritis, with a stable and painless ankle and satisfactory mobility with a loss of dorsiflexion of 5°.
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