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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]
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
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.
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 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.
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
Salter–Harris fractures; Other names: Growth plate fracture [1] An X-ray of the left ankle showing a Salter–Harris type III fracture of medial malleolus. Red arrow demonstrates fracture line while the blue arrow marks the growth plate. Specialty: Orthopedic surgery
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.