Skip to content
DraconiticResearch
Search Sources API
182,469 studies31 sourcesUpdated 29 min ago
Peer-reviewedCC BYFrontiers in surgery

Case Report: Ankle fracture caused by anterior-posterior horizontal force: a report of two cases

  • Bang Dou1
  • Jiaxun Zhao2
  • Wenqian Ma1
  • Junshuai Lu1
  • Jiong Mei3
  1. 1Department of Orthopedics, Songjiang Hospital Affiliated to Shanghai Jiao Tong University School of Medicine , ,
  2. 2School of Mechanical and Automotive Engineering, Shanghai University of Engineering Science , ,
  3. 3Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital , ,
Read full textPDFDOICite

Abstract

Background: Ankle fractures caused by violence in the anterior-posterior horizontal direction are very rare in clinical practice. Few literatures report on the characteristics and mechanisms of this type of fracture, which should be studied to guide clinical treatment.

Case presentation: We presented two cases of ankle fractures caused by horizontal violence in the anterior-posterior direction, and these fractures presented a distinctive morphological pattern. After injury, the affected limbs showed significant swelling, and case 2 had developed osteofascial compartment syndrome, and immediate reduction and incision decompression had been performed. After the soft tissue swelling subsided, an open reduction and internal fixation surgery was performed. We fixed the tibial fractures first and then the fibular fractures, and fixed tibial fractures in anterior and medial biplane, which achieved good clinical efficacy.

Conclusion: Ankle joint fracture caused by horizontal force in the anterior-posterior direction may be a flexion/extension injury, which is rare and unstable and needs further research on the mechanism of injury. This type of ankle fracture may be accompanied by osteofascial compartment syndrome, which needs careful examination and timely treatment.

Related

  1. Staged Reduction and Combined Anterior and Posterior Minimally Invasive Fixation for a Highly Unstable Open-Book Pelvic Ring Fracture: A Case Report.
    Tomohiro Miyashita, Atsushi Yunde
    CureusPeer-reviewedCC BYFull textSurgery & anaesthesiaEurope PMC
  2. Salvage Management of Anterior-Posterior Compression (APC) Type II Pelvic Ring Injury Using Isolated Posterior Fixation After Anterior Implant Removal: A Case Report
    Sireethorn Chatpermporn, Pamok Saengsirinavin
    CureusPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  3. Rare posterior wall acetabular fracture extending to iliac crest managed via extended iliofemoral approach: A case report☆
    Deepak Kumar, Sai Surya Dinesh Pydi, Arjit Bansal +3
    Trauma case reportsPeer-reviewedCC BY-NC-NDFull textSurgery & anaesthesiaEurope PMC
  4. A Fabricated Foot Fracture Caused by Deliberate Placement of an External Osseous Fragment: A Case Report.
    Laith Hseinat, Majdala Al-Bataineh, Hamza A Abu-Ain +7
    CureusPeer-reviewedCC BYFull textObstetrics, gynaecology & paediatricsEurope PMCPMC
  5. Joint-preserving reconstruction of an acute Type IV reverse Hill–Sachs lesion following posterior shoulder fracture-dislocation: a case report
    Matteo Vitali, Filippo Montalbano, Vincenzo Salini
    Journal of surgical case reportsPeer-reviewedCC BYFull textSurgery & anaesthesiaEurope PMCPMC

Cite

BibTeXRIS
BibTeX
@article{dou2026case,
  title = {{Case Report: Ankle fracture caused by anterior-posterior horizontal force: a report of two cases}},
  author = {Bang Dou and Jiaxun Zhao and Wenqian Ma and Junshuai Lu and Jiong Mei},
  journal = {Frontiers in surgery},
  year = {2026},
  month = oct,
  doi = {10.3389/fsurg.2026.1962292},
  url = {https://europepmc.org/article/PMC/PMC13719604},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Case Report: Ankle fracture caused by anterior-posterior horizontal force: a report of two cases
AU  - Bang Dou
AU  - Jiaxun Zhao
AU  - Wenqian Ma
AU  - Junshuai Lu
AU  - Jiong Mei
PY  - 2026
DA  - 2026/10/16
JO  - Frontiers in surgery
DO  - 10.3389/fsurg.2026.1962292
UR  - https://europepmc.org/article/PMC/PMC13719604
AB  - Background: Ankle fractures caused by violence in the anterior-posterior horizontal direction are very rare in clinical practice. Few literatures report on the characteristics and mechanisms of this type of fracture, which should be studied to guide clinical treatment.  Case presentation: We presented two cases of ankle fractures caused by horizontal violence in the anterior-posterior direction, and these fractures presented a distinctive morphological pattern. After injury, the affected limbs showed significant swelling, and case 2 had developed osteofascial compartment syndrome, and immediate reduction and incision decompression had been performed. After the soft tissue swelling subsided, an open reduction and internal fixation surgery was performed. We fixed the tibial fractures first and then the fibular fractures, and fixed tibial fractures in anterior and medial biplane, which achieved good clinical efficacy.  Conclusion: Ankle joint fracture caused by horizontal force in the anterior-posterior direction may be a flexion/extension injury, which is rare and unstable and needs further research on the mechanism of injury. This type of ankle fracture may be accompanied by osteofascial compartment syndrome, which needs careful examination and timely treatment.
SN  - 2296-875X
ER  -