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Incision is made over border of lateral malleolus; peroneal tendon exploration would require a posterolateral longitudinal incision; Surgeons care for peroneal tendons, sural nerve and lesser saphenous vein (which might be ligated), and branches of the superficial peroneal nerve;
A bimalleolar fracture is a fracture of the ankle that involves the lateral malleolus and the medial malleolus. Studies have shown [ 1 ] that bimalleolar fractures are more common in women, people over 60 years of age, and patients with existing comorbidities.
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. The trauma is sometimes accompanied by ligament damage and dislocation. [1]
Diastasis of the lateral malleolus may also occur, in which it is posterolaterally displaced from the tibia. [ 9 ] Although most Maisonneuve cases report a pronation-external rotation mechanism of injury, clinical studies have recorded instances of supination -external rotation being the mechanism of injury. [ 6 ]
In the gravity stress view, the patient lies in the lateral decubitus position with the ankle dangling over the edge of the table to mimic the mechanical stress view. [citation needed] Findings. On X-rays, there can be a fracture of the medial malleolus, the lateral malleolus, and/or of the
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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stress fracture of distal fibula 3–8 cm above the lateral malleolus: repeated axial stress on fibula: Google books result Marko Pećina, Ivan Bojanić. Overuse injuries of the Musculoskeletal System, page 331. Informa Health Care, 2004. ISBN 978-0-8493-1428-5. Salter–Harris fracture: R.B. Salter, W.R. Harris [5] fractures involving a growth ...