CPT® Code 27842

Closed treatment of an ankle dislocation involves the non-surgical realignment of the ankle joint that has been displaced due to injury. This procedure is typically performed under anesthesia to ensure patient comfort and minimize pain during the manipulation of the joint. Ankle dislocations, particularly those without accompanying fractures, are uncommon but can lead to serious complications, such as neurovascular impairment, if not promptly addressed. The evaluation of the neurovascular status of the foot is a critical step in the process; signs of compromise, such as coldness, discoloration, or absence of pulse or sensation, necessitate immediate reduction of the dislocation, often without the need for pre-reduction imaging. In cases where the neurovascular status is stable, radiographs may be obtained to assess the injury before proceeding with treatment. The most frequently encountered type of ankle dislocation is a posterior dislocation of the talus, which requires specific techniques for reduction. The procedure involves careful manipulation of the foot and ankle, applying traction in various directions depending on the type of dislocation. After successful reduction, the neurovascular status is re-evaluated, and a long leg sugar tong posterior splint is applied to immobilize the joint, maintaining it in a position of 90-degree flexion. This immobilization is crucial for the healing of soft tissue structures surrounding the joint. In some cases, percutaneous skeletal fixation may be utilized to stabilize the joint further, particularly when there is a need for additional support during the healing process.