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Ankle fractures may result from excessive stress on the joint such as from rolling an ankle or from blunt trauma. [1] [2] Types of ankle fractures include lateral malleolus, medial malleolus, posterior malleolus, bimalleolar, and trimalleolar fractures. [1] The Ottawa ankle rule can help determine the need for X-rays. [2]
A fractured fibula in addition to detaching the medial malleolus will tear the tibiofibular syndesmosis. [2] The combined fracture of the medial malleolus, lateral malleolus, and the posterior margin of the distal end of the tibia is known as a "trimalleolar fracture". [3] An example of Pott's fracture would be in a sports tackling injury.
Fracture of the medial malleolus seen on X-ray scan (left ankle) Common symptoms of a Maisonneuve fracture are pain, swelling, tenderness, and bruising around the ankle joint and inferior (or distal) tibiofibular joint. More specifically, as a pronation-external rotation injury, pain during external rotation of the ankle joint is expected.
A bimalleolar fracture is a fracture of the ankle that involves the lateral malleolus and the medial malleolus. Studies have shown [ 3 ] that bimalleolar fractures are more common in women, people over 60 years of age, and patients with existing comorbidities.
Talofibular ligament sprain or distal fibular avulsion fracture; Vertical medial malleolus fracture and impaction of anteromedial distal tibia; Supination-External rotation: Anterior tibiofibular ligament sprain; Lateral short oblique fibular fracture (anteroinferior to posterosuperior) Posterior tibiofibular ligament rupture or avulsion of ...
Ankle X-ray is only required if: There is any pain in the malleolar zone; and, Any one of the following: Bone tenderness along the distal 6 cm of the posterior edge of the tibia or tip of the medial malleolus, OR; Bone tenderness along the distal 6 cm of the posterior edge of the fibula or tip of the lateral malleolus, OR
It is thus a form of child bone fracture. It is a common injury found in children, occurring in 15% of childhood long bone fractures. [3] This type of fracture and its classification system is named for Robert B. Salter and William H. Harris who created and published this classification system in the Journal of Bone and Joint Surgery in 1963. [4]
medial malleolus occasionally fractured; usually stable: occasionally nonetheless requires an open reduction and internal fixation (ORIF) particularly if medial malleolus fractured; Type B. Fracture of the fibula at the level of the syndesmosis. Typical features: at the level of the ankle joint, extending superiorly and laterally up the fibula
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