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Journal Contents   |    
ANKLE DISLOCATIONS WITHOUT FRACTURE
MILTON J. WILSON; ARTHUR A. MICHELE; EDWIN W. JACOBSON
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The Department of Orthopaedics and Fractures, New York Medical College and Flower-Fifth Avenue Hospital; and the Metropolitan Hospital, New York
1939 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1939; 21:198-204 
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Abstract

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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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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