pure ankle dislocation treated with casting and early range of motions and rehabilitation

Introduction: ankle dislocations are a group of injuries requiring immediate orthopedic interventions to avoid subsequent neurovascular complications and impairments. in most cases, they are associated with a malleolar fracture in the ankle. however, in the sporadic cases, especially the ones due to high-energy traumas, ankle dislocations are not associated with malleolar fractures and are referred to as pure ankle dislocations. case presentation: here, we report a rare case of pure ankle dislocation in a 38-year-old female athlete with no previously established predisposing risk factors. the patient was referred to our emergency department following a catastrophic fall down during exercise, resulting in severe ankle pain and deformity. the patient was treated with urgent reduction of the displacement and 6 weeks of immobilization by casting followed by intensive physiotherapy. conclusion: at the end of the 3-month follow-up, no symptoms of instability were observed, and the patient could walk normally; at the 6-month follow-up, the patient could perform her sport activates similar to the initial level.