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Additionally, the Ottawa ankle rules indicate whether a foot X-ray series is required. It states that it is indicated if: There is any pain in the midfoot zone; and, Any one of the following: Bone tenderness at the base of the fifth metatarsal (for foot injuries), OR; Bone tenderness at the navicular bone (for foot injuries), OR
The mortise view is an AP x-ray taken with the ankle internally rotated 15-20 degrees since the foot is naturally externally rotated relative to the ankle. [9] In addition to these views, a full-length view of the tibia and fibula may be necessary to evaluate for injuries to the proximal fibula associated with Maisonneuve fractures .
The calcaneofibular ligament is a narrow, rounded cord, running from the tip of the lateral malleolus of the fibula downward and slightly backward to a tubercle on the lateral surface of the calcaneus. It is part of the lateral collateral ligament, which opposes the hyperinversion of the subtalar joint, as in a common type of ankle sprain. [1]
Most ankle sprains are lateral sprains that occur when the foot rolls, causing the side of the ankle to be pressed to the ground. [7] Small blood vessels rupture in the process and cause the ankle to swell [ 4 ] and damage may also occur to the ligaments, these constituting a short band of tough, flexible, fibrous connective tissues holding the ...
X-ray of trimalleolar fracture repair with plate and nails. Surgical repair using open reduction and internal fixation is generally required, and because there is no lateral restraint of the foot, the ankle cannot bear any weight while the bone knits. This typically takes six weeks in an otherwise healthy person, but can take as much as twelve ...
above the level of the ankle joint; tibiofibular syndesmosis disrupted with widening of the distal tibiofibular articulation; medial malleolus fracture or deltoid ligament injury present; unstable: requires ORIF; Categories B and C imply a degree of damage to the syndesmosis itself (which cannot be directly visualised on X-ray).
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.
It is one of the lateral ligaments of the ankle and prevents the foot from sliding forward in relation to the shin. It is the most commonly injured ligament in a sprained ankle —from an inversion injury—and will allow a positive anterior drawer test of the ankle if completely torn.