Ankle dislocation without fracture

Injuries to the ankle ligaments are common, but injuries severe enough to cause complete tibiotalar dislocation are uncommon. Not all dislocations cause fractures, as seen in the case report of a recreational softball player. Despite the dramatic appearance of the injury, if radiographs do not indicate a fracture and no neurologic or vascular complications are seen, congruent reduction of the ankle can be achieved nonsurgically. After a period of splinting, non-weight bearing, and rehabilitating, most patients make a full recovery.