Luxation tibio-astragalienne pure chez un jeune sportif

  • Mohamed Amine Karabila
  • Mohamed Kharmaz

Abstract

We report the case of a 20-year-old athlete, who suffered a handball accident, causing a pure dislocation of the ankle (A). The reduction was  performed under general anesthesia in emergency. X-Ray and CT scan after reduction objectified a good articular congruence (B, C). Restraint by a cast boot for six weeks was provided. The examination of the ankle performed after removal of the plaster has not found a laxity of the ankle. The ankle MRI performed in search of a ligament injury objectified integrity of periarticular ligaments (D). After nine months, the functional results were excellent, with no signs of instability or arthritis. The tibio-talar ankle dislocation without fracture associated is a very rare injury, often caused by high-velocity trauma; until now, few cases have been reported in the literature. The rarity of this lesion can be explained by the durability of ligaments compared with malleoli and thus, during a trauma of the ankle, a fracture occurs rather than a dislocation.

Pan African Medical Journal 2016; 23

Author Biographies

Mohamed Amine Karabila
Service de Chirurgie Orthopédique et de Traumatologie, CHU Ibn Sina, Rabat, Maroc
Mohamed Kharmaz
Service de Chirurgie Orthopédique et de Traumatologie, CHU Ibn Sina, Rabat, Maroc
Published
2016-06-10
Section
Articles

Journal Identifiers


eISSN: 1937-8688