A Irreducible Ankle Fracture and Dislocation Due to Injured Tibialis Posterior Tendon Interposition: A Case Report.
10.14193/jkfas.2017.21.2.70
- Author:
Jun Young LEE
1
;
Yi Gyu BAK
;
Hyun Woong JANG
Author Information
1. Department of Orthopaedic Surgery, Chosun University School of Medicine, Gwangju, Korea. leejy88@chosun.ac.kr
- Publication Type:Case Report
- Keywords:
Ankle;
Fracture and dislocation;
Tibialis posterior tendon
- MeSH:
Ankle Fractures*;
Ankle*;
Dislocations*;
Ethics, Institutional;
Humans;
Ligaments;
Muscles;
Tendon Injuries;
Tendons*
- From:Journal of Korean Foot and Ankle Society
2017;21(2):70-74
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fractures and fracture-dislocations of the ankle are caused by a variety of mechanisms. In addition to fractures, injuries of soft tissue, such as ligaments, tendons, nerves, and muscles may also occur. Among these, a tibialis posterior tendon injury is difficult to be identified due to swelling and pain at the fracture site. It is difficult to observe tibialis posterior tendon injury on a simple radiograph; it is usually found during surgery by accident. There are some studies regarding irreducible ankle fracture-dislocations due to interposition of the tibialis posterior tendon; however, to the best of our knowledge, there has not been any report about interposition of injured tibialis posterior tendon. Herein, we report a case of an irreducible fracture-dislocation of the ankle due to injured tibialis posterior tendon interposition that was observed intraoperatively, interrupting the reduction of ankle fracture-dislocation. We obtained satisfactory clinical result after reduction of the trapped tendon, fracture reduction, and internal fixation; therefore, we are willing to report this case with the consent of the patient. This study was conducted with an approval from the local Institutional Ethics Review Board.
