Isolated close ankle dislocation in gymnast, a case report

Abstract

Ankle dislocation is considered to be an orthopedic emergency and should be immediately managed in order to prevent the potential neurovascular compromise. A rare entity that may arise in high-energy traumatic incidences is “Isolated ankle dislocations” which are ankle dislocations that are not accompanied with simultaneous ankle fractures; thus, they are termed as “isolated” or “pure”. Isolated Ankle dislocation considered a rare injury which accounts for 0.065 % of all ankle injuries. Most cases are treated conservatively with an immediate ankle joint reduction, 6 to 9 weeks of immobilization followed by physiotherapy. The results of this management are usually effective in most patients as reported. In this case we are presenting a unique case for a 20-year-old female professional gymnast with isolated posteromedial ankle dislocation. The primary goal of management was to reduce the isolated ankle dislocation while preserving the functions of the ankle and establish a normal range of motion without pain. Moreover, the patient's management plan was directed by a multidisciplinary team. Full functional recovery was made, and the patient was successfully back to gymnastics in two years.

Keywords

• Ankle
• Dislocation
• Fracture
• Gymnast