Abstract
Irreducible ankle fracture-dislocations are very rare entities. The present case report
demonstrates an unusual finding of tibialis posterior and flexor digitorum longus
tendons interposed in the tibiofibular joint impairing successful closed reduction
of ankle fracture-dislocation. A 45-year-old patient presented with a bimalleolar
pronation-external rotation ankle fracture-dislocation after a motorcycle accident.
Attempts to perform closed reduction before surgery were unsuccessful. Subsequent
urgent open reduction and internal fixation surgical management revealed interposition
of the tibialis posterior and flexor digitorum longus tendons in the tibiofibular
joint. In irreducible fracture-dislocation of the ankle with severe lateral displacement
of the talus, one should be aware of the possibility of soft tissue interposition
of the tibialis posterior and flexor digitorum longus tendons in the tibiofibular
joint.
Level of Clinical Evidence
Keywords
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Article info
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
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© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
