The Essential Checklist for Ankle Dislocations

​Immediate relocation of ankle dislocations is necessary to preserve the vascular or neurological integrity of the lower extremity and relieve extreme pain. Literature reviews reveal that early reduction followed by a short period of immobilization (six to 12 weeks) and functional or physical rehabilitation produce good clinical outcomes. (Injury 2017;48[10]:2027).Left ankle dislocation from a football accident. Photo by M. Roberts.Ankle dislocations occur from blunt or traumatic incidents such as sporting events (football, gymnastics), motor vehicle crashes, falling, or jumping. Patients may state that their toes were pointed down or plantar-flexed during the impact or that their ankles were already turned far inward or outward. (Surg Clin North Am 1965;45[1]:79.) Significant force is required to produce an ankle dislocation.An x-ray of an ankle joint in the AP view showing fracture-dislocation of the ankle. Source: Creative Commons.At-Risk PopulationsSporting accidents (31%) and motor vehicle crashes (30%) are the most common causes of acute ankle dislocation. (Injury 2017;48[10]:2027.)These injuries usually happen to men and boys.Obese patients and those who smoke are at higher risk. (Bone Joint Res 2013;2[6]:102; http://bit.ly/2DGG94d.)Prior history of ankle fracture, strains, or sprains increases risk.Ankle Anatomy ReviewThree bones make up the ankle joint: the tibia, fibula, and talus. Below the ankle joint is the subtalar joint, which is b...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs