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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...

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Autores principales: Galanis, Athanasios, Karampinas, Panagiotis, Vlamis, John, Vavourakis, Michail, Papagrigorakis, Eftychios, Vlachos, Christos, Zachariou, Dimitrios, Pneumaticos, Spiros
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622876/
https://www.ncbi.nlm.nih.gov/pubmed/37928720
http://dx.doi.org/10.1016/j.tcr.2023.100935
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author Galanis, Athanasios
Karampinas, Panagiotis
Vlamis, John
Vavourakis, Michail
Papagrigorakis, Eftychios
Vlachos, Christos
Zachariou, Dimitrios
Pneumaticos, Spiros
author_facet Galanis, Athanasios
Karampinas, Panagiotis
Vlamis, John
Vavourakis, Michail
Papagrigorakis, Eftychios
Vlachos, Christos
Zachariou, Dimitrios
Pneumaticos, Spiros
author_sort Galanis, Athanasios
collection PubMed
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.
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spelling pubmed-106228762023-11-04 Pure ankle dislocation after modified Broström repair for chronic lateral instability: Case report and literature review Galanis, Athanasios Karampinas, Panagiotis Vlamis, John Vavourakis, Michail Papagrigorakis, Eftychios Vlachos, Christos Zachariou, Dimitrios Pneumaticos, Spiros Trauma Case Rep Case Report 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. Elsevier 2023-09-27 /pmc/articles/PMC10622876/ /pubmed/37928720 http://dx.doi.org/10.1016/j.tcr.2023.100935 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Galanis, Athanasios
Karampinas, Panagiotis
Vlamis, John
Vavourakis, Michail
Papagrigorakis, Eftychios
Vlachos, Christos
Zachariou, Dimitrios
Pneumaticos, Spiros
Pure ankle dislocation after modified Broström repair for chronic lateral instability: Case report and literature review
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 broström repair for chronic lateral instability: case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622876/
https://www.ncbi.nlm.nih.gov/pubmed/37928720
http://dx.doi.org/10.1016/j.tcr.2023.100935
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