This is a horrible case of a 41 year old man who was hanging christmas lights while standing on a ladder. The ladder shifted and he fell off, breaking and dislocating his ankle. . Open ankle dislocations are usually a result of a severe trauma. Forces are placed on the ankle that cause the bones to fracture or the ligaments to tear, resulting in the dislocation injury. Most commonly, a dislocated ankle is associated with fractures of the distal ends of the tibia and fibula in association with damage to the ligaments that help support the ankle joint. . Previous ankle sprains, medial malleolar hypoplasia, weakness of the peroneal muscles and ligamentous laxity are predisposing factors for dislocation. . . TAG a friend who ever had a sprained ankle! FOLLOW us @medicalpedia