Ankle dislocation: Difference between revisions
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==Background== | ==Tibiotalar Dislocation== | ||
*Most ankle dislocations | ===Background=== | ||
*Most ankle dislocations are assoc w/ a fracture | |||
*Posterior dislocation is most common | *Posterior dislocation is most common | ||
**Assoc w/ rupture of tibiofibular ligaments or lateral malleolus fracture | **Assoc w/ rupture of tibiofibular ligaments or lateral malleolus fracture | ||
==Management== | ===Management=== | ||
*Must rule-out neurovascular compromise and conversion to open fracture | *Must rule-out neurovascular compromise and conversion to open fracture | ||
**Reduce immediately if vascular compromise or skin tenting is present | **Reduce immediately if vascular compromise or skin tenting is present | ||
==Sub-Talar Dislocation== | |||
===Background=== | |||
*Orthopedic emergency | |||
===Diagnosis=== | |||
*Plain radiographs usually sufficient | |||
===Management=== | |||
*Immediate ortho consultation and reduction | |||
==Source== | ==Source== | ||
*Tintinalli | *Tintinalli | ||
Revision as of 20:17, 17 February 2012
Tibiotalar Dislocation
Background
- Most ankle dislocations are assoc w/ a fracture
- Posterior dislocation is most common
- Assoc w/ rupture of tibiofibular ligaments or lateral malleolus fracture
Management
- Must rule-out neurovascular compromise and conversion to open fracture
- Reduce immediately if vascular compromise or skin tenting is present
Sub-Talar Dislocation
Background
- Orthopedic emergency
Diagnosis
- Plain radiographs usually sufficient
Management
- Immediate ortho consultation and reduction
Source
- Tintinalli