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A trimalleolar fracture is a fracture of the ankle that involves the lateral malleolus, the medial malleolus, and the distal posterior aspect of the tibia, which can be termed the posterior malleolus.
In terms of fracture type, isolated malleolar fractures are most common (two-thirds of fractures); bimalleolar fractures occur in roughly 25% of patients while trimalleolar fractures occur in 5-10%. [10] Open fractures are rare, compromising 2% of all ankle fractures. [21] In children, ankle fractures occur in about 1 per 1000 per year. [3]
Studies have shown [3] that bimalleolar fractures are more common in women, people over 60 years of age, and patients with existing comorbidities. [3] A trimalleolar fracture is a fracture of the ankle that involves the lateral malleolus, the medial malleolus, and the distal posterior aspect of the tibia, which can be termed the posterior ...
A long-term effect of this is painful ankle osteoarthritis due to the direct contact between the tibia and talus. [10] [11] If a Maisonneuve fracture is left untreated, instability of the tibiotalar joint and deltoid ligament can cause a valgus deformity of the ankle.
Ankle fractures may result from excessive stress on the joint such as from rolling an ankle or from blunt trauma. [20] [21] Types of ankle fractures include lateral malleolus, medial malleolus, posterior malleolus, bimalleolar, and trimalleolar fractures. [20] The Ottawa ankle rule can help determine the need for X-rays. [21]
Los Angeles Dodgers first baseman Freddie Freeman underwent surgery on the right ankle he injured at the end of the regular season and played on throughout the postseason, the team announced Thursday.
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