Avoiding pitfalls in ankle fracture-dislocations: A case report of a dislocated tibialis posterior tendon causing persistent ankle subluxation
| Autor: | Henrik Eckardt, Samuel Tschudi, Matthias Wittauer, Anna Hirschmann |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Subluxation
030222 orthopedics Syndesmosis Interosseous membrane business.industry 030229 sport sciences Anatomy Ankle Mortise musculoskeletal system medicine.disease Tendon 03 medical and health sciences Retinaculum 0302 clinical medicine medicine.anatomical_structure Navicular bone medicine Orthopedics and Sports Medicine Ankle business |
| Zdroj: | Foot and Ankle Surgery. 27:700-709 |
| ISSN: | 1268-7731 |
| DOI: | 10.1016/j.fas.2020.09.008 |
| Popis: | Tibialis posterior tendon dislocation, a rare complication in ankle fracture-dislocations, can impede anatomical reduction of the ankle mortise. We report on a 59-year-old healthy male with an open fracture-dislocation of the right ankle. Despite multiple attempts under direct vision of the anterior syndesmosis, anatomical reduction of the ankle mortise was not possible. Soft tissue windows in a computed tomography (CT) scan revealed the dislocated tibialis posterior tendon to be the impeding structure. At the level of the fibula fracture the tendon passed through the interosseous membrane anterior to the distal tibia and was then incarcerated in the medial talocrural joint before returning to the flexor retinaculum and its insertion on the navicular bone. Understanding the trauma mechanism and the course of the dislocated tendon as well as correct interpretation of CT and magnetic resonance images of the ankle enable surgeons to early diagnose and correctly treat this condition. |
| Databáze: | OpenAIRE |
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