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Case Report: Closed Posteromedial Dislocation of the Ankle without Medial Malleolar Fracture

Jakrapong Orapin, Paphon Sa-ngasoongsong, Sorawut Thamyongkit, Noratep Kulachote, Sukij Laohajaroensombat, Chanyut Suphachatwong, Pornchai Mulpruek

Closed ankle dislocation without associated fractures of malleoli is a very rare condition and has been reported sparsely in literatures. We present two cases of this type of injury. All patients were treated conservatively with immediate closed reduction and immobilization in a short leg slab. Mechanism of injury, MRI findings, management, functional outcome and possible complications were discussed. Sufficient immobilization period with gradual ankle joint motion exercise with brace support resulted in good to excellent clinical outcomes. A review of the literature is also presented in this paper.