Ankle fracture dislocation!

Ankle fracture dislocation!

Ankle fracture dislocation as a result of skateboarding! The ankle was reduced and fixated with a titanium plate and 8 screws.

Physical inspection should include a neurovascular assessment and an examination of the soft tissue for signs of open wounds, blanching, swelling, and tenting. Up to one-third of ankle fracture dislocations present as open injuries.

Prereduction radiographs may help identify obvious concomitant injuries and rule out trauma that can mimic ankle fracture-dislocation deformities including distal tibia fractures and subtalar dislocations. However, gross reduction attempts should not be delayed to obtain these images if soft tissue is at risk.