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Ditch Dislocation

Author: Jonathan P. Coss, MD 
Peer-Reviewer: Will Denq, MD, CAQ-SM 
Final Editor: Alex Tomesh, MD, CAQ-SM

A 46-year-old male fell into a ditch at a height of approximately 6-7 ft per EMS. He presented to the ED with obvious left ankle deformity seen below. 

X-ray of a hand

Description automatically generatedA leg on a cushion

Description automatically generated
 

 

X-ray of a foot

Description automatically generatedA close-up of a foot

Description automatically generatedA person's leg on a pillow

Description automatically generated
 
Image 1: Pictures and AP/Lateral x-ray of the injured left lower extremity. Author’s own images.


References

[1] Davenport M. Procedures for orthopedic emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management fort the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013. 

[2] Southerland JT. McGlamry’s Comprehensive Textbook of Foot and Ankle Surgery. 4th Ed. Lippincott Williams & Wilkins; 2013. 

[3] Weston JT, Liu X, Wandtke ME, et al. A systematic review of total dislocation of the talus. Orthop Surg. 2015 May. 7 (2): 97-101. https://read.qxmd.com/read/26033988/a-systematic-review-of-total-dislocation-of-the-talus?redirected=slug 

[4] Wire J, Hermena S, Slane VH. Ankle Fractures [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL) : StatPearls publishing; 2024 Jan -. Available from: https://www.ncbi.nlm.nih.gov/books/NBK542324/#