Ankle Fracture Flashcards
1
Q
What is an ankle fracture?
A
Fracture of medial, lateral or posterior malleolus
2
Q
How are ankle fractures classified?
A
Isolated medial malleolar fracture
Isolated lateral malleolar fracture
Bimalleolar fractures
Trimalleolar fractures
3
Q
What is the Weber classification?
A
Classification of lateral malleolus fractures
Type A = below syndesmosis
Type B = at level of syndesmosis
Type C = above syndesmosis
4
Q
Clinical features of ankle fractures
A
Ankle pain
Unable to weight bear
+/- deformity
Check neurovascular status
5
Q
What are the Ottawa ankle rules?
A
X-rays only required if
- bone tenderness at posterior edge of lateral malleolus OR
- bone tenderness at posterior edge of medial malleolus OR
- an inability to weight bear both immediately and in ED
6
Q
Investigations for suspected for ankle fracture
A
X-ray
- lateral and Mortise view
7
Q
Conservative management of ankle fractures
A
Below knee back slab
- neurovascular exam
- post-manipulation x-ray
8
Q
Surgical management of ankle fractures
A
ORIF
Indications
- Bimalleolar/trimalleolar fracture
- Weber C or B with talar shift
- open fracture
