Open ligamentous complex disruption of the lateral ankle without dislocation or fracture: Two case reports

INTRODUCTION: Lateral ligamentous complex injury without fracture or dislocation is rare in the literature. Due to the rare injury, it is not clear yet about the proper treatment. This case report suggests a specific diagnosis of this injury as well as an appropriate surgical method. PATIENT CONCERNS: In one-month period of time, 2 male soldiers participating in recreational basketball game presented with open wound on the lateral aspect of ankle without associated dislocation or fracture when they attempted to rebound the ball which consequently made them land on another player's foot. DIAGNOSIS: Total rupture of the lateral ligament complex with open wound was found without any associated fracture or dislocation. INTERVENTIONS: Open repair of the ruptured ligaments and capsule was performed. OUTCOMES: Patients returned to his own job's duty with none to minimal limitation in sport and activities of daily living at 9 to 10 months after the injury. CONCLUSION: Although open disruption of the lateral ligamentous complex without fracture or dislocation is rare, an adequate assessment and prompt surgical repair led to satisfactory outcome.