Injuries to the ankle ligaments are common, but injuries severe enough to cause complete tibiotalar dislocation are uncommon. Not all dislocations cause fractures, as seen in the case report of a recreational softball player. Despite the dramatic appearance of the injury, if radiographs do not indicate a fracture and no neurologic or vascular complications are seen, congruent reduction of the ankle can be achieved nonsurgically. After a period of splinting, non-weight bearing, and rehabilitating, most patients make a full recovery.