Pure ankle dislocation after modified Broström repair for chronic lateral instability: Case report and literature review
Ankle dislocation with no concomitant malleolar fracture is an overwhelmingly rare injury, and only a relatively limited number of cases have been reported. Diligent management regarding the treatment of these injuries is requisite to attain an auspicious outcome. Lateral ankle instability is a freq...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023001826 |
| _version_ | 1797405370277167104 |
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| author | Athanasios Galanis Panagiotis Karampinas John Vlamis Michail Vavourakis Eftychios Papagrigorakis Christos Vlachos Dimitrios Zachariou Spiros Pneumaticos |
| author_facet | Athanasios Galanis Panagiotis Karampinas John Vlamis Michail Vavourakis Eftychios Papagrigorakis Christos Vlachos Dimitrios Zachariou Spiros Pneumaticos |
| author_sort | Athanasios Galanis |
| collection | DOAJ |
| description | Ankle dislocation with no concomitant malleolar fracture is an overwhelmingly rare injury, and only a relatively limited number of cases have been reported. Diligent management regarding the treatment of these injuries is requisite to attain an auspicious outcome. Lateral ankle instability is a frequent condition that can derive from recurrent sprains, predominantly at a young age. Broström repair, with its modifications and updates, has been established as the optimal solution when treating chronic lateral unsteadiness. We present a peculiar case of a posteromedial ankle dislocation without accompanying fracture in a patient operated on many years before the injury for chronic lateral instability with a modified Broström procedure. No similar case could be retrieved in the existing literature. After the initial clinical and radiological assessment, urgent closed reduction of the dislocation was achieved, and the foot was immobilized. Further imaging was carried out to evaluate the features of the injury. It was deduced that the repairs from the previous operation were intact. The patient was operated on to repair the distal tibiofibular syndesmosis. The postoperative course was uneventful, and absolute functional capacity was eventually accomplished. Demonstrating this rare case, we accentuate the role of implementing the modified Broström procedure in the surgical treatment of chronic lateral ankle instability. |
| first_indexed | 2024-03-09T03:09:04Z |
| format | Article |
| id | doaj.art-7883341a2cee44aa9694c753daf6f994 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-03-09T03:09:04Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-7883341a2cee44aa9694c753daf6f9942023-12-04T05:23:14ZengElsevierTrauma Case Reports2352-64402023-12-0148100935Pure ankle dislocation after modified Broström repair for chronic lateral instability: Case report and literature reviewAthanasios Galanis0Panagiotis Karampinas1John Vlamis2Michail Vavourakis3Eftychios Papagrigorakis4Christos Vlachos5Dimitrios Zachariou6Spiros Pneumaticos73rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, Athens, GreeceCorresponding author at: Chelmou 6, Neo Irakleio, Athens 14122, Greece.; 3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, Athens, GreeceAnkle dislocation with no concomitant malleolar fracture is an overwhelmingly rare injury, and only a relatively limited number of cases have been reported. Diligent management regarding the treatment of these injuries is requisite to attain an auspicious outcome. Lateral ankle instability is a frequent condition that can derive from recurrent sprains, predominantly at a young age. Broström repair, with its modifications and updates, has been established as the optimal solution when treating chronic lateral unsteadiness. We present a peculiar case of a posteromedial ankle dislocation without accompanying fracture in a patient operated on many years before the injury for chronic lateral instability with a modified Broström procedure. No similar case could be retrieved in the existing literature. After the initial clinical and radiological assessment, urgent closed reduction of the dislocation was achieved, and the foot was immobilized. Further imaging was carried out to evaluate the features of the injury. It was deduced that the repairs from the previous operation were intact. The patient was operated on to repair the distal tibiofibular syndesmosis. The postoperative course was uneventful, and absolute functional capacity was eventually accomplished. Demonstrating this rare case, we accentuate the role of implementing the modified Broström procedure in the surgical treatment of chronic lateral ankle instability.http://www.sciencedirect.com/science/article/pii/S2352644023001826AnkleLateral instabilityBroström procedureModified BroströmAnkle dislocationTibiotalar dislocation |
| spellingShingle | Athanasios Galanis Panagiotis Karampinas John Vlamis Michail Vavourakis Eftychios Papagrigorakis Christos Vlachos Dimitrios Zachariou Spiros Pneumaticos Pure ankle dislocation after modified Broström repair for chronic lateral instability: Case report and literature review Trauma Case Reports Ankle Lateral instability Broström procedure Modified Broström Ankle dislocation Tibiotalar dislocation |
| title | Pure ankle dislocation after modified Broström repair for chronic lateral instability: Case report and literature review |
| title_full | Pure ankle dislocation after modified Broström repair for chronic lateral instability: Case report and literature review |
| title_fullStr | Pure ankle dislocation after modified Broström repair for chronic lateral instability: Case report and literature review |
| title_full_unstemmed | Pure ankle dislocation after modified Broström repair for chronic lateral instability: Case report and literature review |
| title_short | Pure ankle dislocation after modified Broström repair for chronic lateral instability: Case report and literature review |
| title_sort | pure ankle dislocation after modified brostrom repair for chronic lateral instability case report and literature review |
| topic | Ankle Lateral instability Broström procedure Modified Broström Ankle dislocation Tibiotalar dislocation |
| url | http://www.sciencedirect.com/science/article/pii/S2352644023001826 |
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