Background: Ankle fracture is a common case encountered in the emergency department. It is not uncommon to come across a rare fracture dislocation patterns on a day-to-day practice. Our aim is to create awareness of a rare type of ankle dislocation without any obvious fracture. Case Report: We report a case of an axial divergent incarcerated dislocation of ankle with no fracture. This was reduced by a gentle repeated dialing movement and subsequently fixed with syndesmosis screws. Conclusion: A tibiotalar dislocation without any fracture is a rare type of ankle injury. This should be treated as any other fracture dislocation of the ankle. Awareness of this type of injury should prompt to get early radiological examination and appropriate subsequent management.