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Journal of Bone and Joint Surgery, 1939;21:198-204.
© 1939 by The Journal of Bone and Joint Surgery, Inc

ANKLE DISLOCATIONS WITHOUT FRACTURE

MILTON J. WILSON M.D., F.A.C.S.1, ARTHUR A. MICHELE M.D.1, and EDWIN W. JACOBSON M.D.1

1 The Department of Orthopaedics and Fractures, New York Medical College and Flower-Fifth Avenue Hospital; and the Metropolitan Hospital, New York

1. In the rare cases of uncomplicated dislocations of the ankle, such as the two reported, the etiology is direct or indirect trauma to the foot.

2. The diagnosis is easily made by clinical examination, while fracture is ruled out by roentgenographic examination.

3. Treatment consists of downward traction upon the heel, with the knee flexed. Dorsiflexion is added to correct posterior displacement. [SEE TABLE I IN SOURCE PDF] Reduction becomes evident as the bone clicks sharply into place, and a normal range of ankle motion is obtained. Reduction is easily accomplished without anaesthesia.

4. In posterior and upward dislocations, the ankle is immobilized in a plaster cast for ten weeks, followed by whirlpool baths.

5. Good functional results were obtained in our cases by the method described. Operative procedures were found unnecessary.


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