Kırıksız Kapalı Ayak Bileği Çıkığı ve Sindesmoz Ayrılması

Abstract

Vücut ağırlığının taşınmasında önemli rolü olan ayak bileğinin bu kompleks fonksiyonlarının yerine getirmesinde karmaşık yapısı önemli rol oynar. Bu olgu sunumunda 35 yaşında ıslak zeminde kayma sonucu ayak bileğinde burkulma şikayeti ile acil servise başvuran erkek olguda tespit edilen kapalı tibiotalar eklem anterior dislokasyonu ile birlikte sindesmoz ayrışması birlikteliği tartışılmıştır.

Keywords

• Ayak bileği, dislokasyon

Closed Ankle Dislocation and Separation of Syndesmosis without As- sociated Fracture

Abstract

Ankle has an important role to carry body weight and its complicated structure plays a significant role to perform this complex action. In this case report we presented a 35 year old male patient admitted to the ED due to fall down on the wet floor and we discussed the association of a closed anterior tibiotalar joint dislocation and separation of syndesmosis

Keywords

• Ankle joint, dislocation

References

1. Rivera F, Bertone C, De Martino M, Pietrobono D, Ghisellini F. Pure dislocation of the ankle: three case reports and literature re- view. Clin Orthop Relat Res. 2001;179-184.
2. Pankovich AM. Trauma to ankle. Disorders of the foot&ankle, Johss MN, Vol. III, 23612441, W.B. Saunders Company. 1992.
3. Geisser W.B. , Tsao A.K. , Hughes J.L. : Fractures and injuries of the ankle, Fractures in Adults Rockwood and Green’s 4th ed. Vol.2, 2201-2242, Lippincott-Raven 1996.
4. Demiralp B, Komurcu M, Ozturan K, Tastan E, Erler K. Acute traumatic open posterolateral dislocation of the ankle without tearing of the tibiofib- ular ligaments: a case report. J Am Podiatr Med Assoc. 2008;96:469-472.
5. Gogi N, Khan SA, Anwar R. Anterior dislocation of the tibio-talar joint with- out diastasis or fracture--a case report. Foot Ankle Surg. 2008;14:47-94.
6. Lertwanich P, Santanapipatkul P, Harnroonroj T. Closed postero- medial dislocation of the ankle without fracture: a case report. J Med Assoc Thai. 2008;91:1137-1140.
7. Thangarajah T, Giotakis N, Matovu E. Bilateral ankle fracture without dislocation. J Foot Ankle Surg. 2008;47:1137-1140.
8. Moira Davenport, MD. Joint Reduction, Ankle Dislocation. eMed- icine Clinical Procedures. URL: http://emedicine.medscape.com/ article/109244-print Erişim Tarihi: 29 Ekim 2010.

9. Kevin J. Knoop, Lawrence B. Stack, Alan B. Storrow, R. Jason Thurman. The Atlas of Emergency Medicine, (Third Edition) USA 2010, pp. 651-657.
10. Hopkinson WJ, St Pierre P, Ryan JB, Wheeler JH. Syndesmosis sprains of the ankle. Foot Ankle 1990;10:325-30.
11. Boytim MJ, Fischer DA, Neumann L. Syndesmotic ankle sprains. Am J Sports Med 1991;19:294-8.
12. Harper MC, Keller TS. A radiographic evaluation of the tibiofibu- lar syndesmosis. Foot Ankle 1989;10:156-60.
13. Wuest TK. Injuries to the distal lower extremity syndesmosis. J Am Acad Orthop Surg 1997;5:172-81.
14. Harris J, Huffman L, Suk M. Lateral Peritalar Dislocation: A Case Report. The Journal of Foot & Ankle Surgery 2008;47:56-59.