Irreducible Ankle Fracture-Dislocation Due to Tibialis Anterior Subluxation: A Case Report Journal Article

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Authors: Natoli, R. M.; Summers, H. D.
Article Title: Irreducible Ankle Fracture-Dislocation Due to Tibialis Anterior Subluxation: A Case Report
Abstract: Irreducible ankle fracture-dislocations are rare. Several cases of irreducible ankle fracture-dislocation have been reported in published studies secondary to the tibialis posterior tendon, deltoid ligament, or extensor digitorum longus tendon blocking the reduction. We report a case of irreducible ankle fracture-dislocation resulting from posteromedial subluxation of the tibialis anterior tendon around a medial malleolar fracture fragment. Ultimately, the ankle required open reduction of the incarcerated tendon to reduce the joint and proceed with internal fixation of the associated fracture. The patient's postoperative course was uncomplicated, and the tibialis anterior tendon was functioning at 10 months postoperatively, after which he did not return for follow-up examinations. To our knowledge, this is the first reported case of the tibialis anterior tendon blocking closed reduction of an ankle fracture-dislocation.
Journal Title: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
Volume: 54
Issue: 2
ISSN: 1542-2224; 1067-2516
Publisher: Elsevier Inc  
Date Published: 2015
Start Page: 268
End Page: 272
Language: ENG
DOI/URL:

S1067-2516(14)00577-8
Notes: LR: 20150127; CI: Copyright (c) 2015; JID: 9308427; OTO: NOTNLM; 2014/09/16 [received]; aheadofprint