RT Book, Section
A1 Reichman, Eric F.
SR Print(0)
ID 57709376
T1 Chapter 89. Ankle Joint Dislocation Reduction
T2 Emergency Medicine Procedures, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-161352-1
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57709376
RD 2024/04/25
AB The  foot  and  the  ankle  are  the  most  frequently  injured  parts  of  the  body.  Fractures  of  the  ankle  associated  with  dislocations  of  the  ankle  joint  (fracture-dislocations)  are  serious  injuries  that  can  lead  to  long-term  morbidity.  They  occur  most  commonly  in  young  people  who  participate  in  sports,  in  those  suffering  from  falls,  or  in  those  involved  in  motor  vehicle  collisions.  The  ankle  mortise  and  surrounding  ligaments  make  the  ankle  joint  strong  and  stable.  As  a  result,  isolated  ankle  dislocations  are  uncommon.  Ankle  dislocations  are  usually  associated  with  malleolar  fractures  or  a  fracture  of  the  tip  of  the  tibia.  They  are  open  25%  of  the  time.  While  there  are  limited  data  on  the  mechanism  of  injury,  most  ankle  dislocations  lead  to  posterior  or  posteromedial  displacement  and  occur  from  a  force  against  a  plantarflexed  foot.  Fracture-dislocations  are  often  treated  definitively  in  the  Operating  Room.  Despite  this,  patients  benefit  from  early  analgesia  and  prompt  reduction.