Ankle Fractures

Question 1

Investigation of ankle fractures?

Answer 1

-Ottawa criteria -> merit an x-ray

Question 2

What is Ottawa criteria?

Answer 2

-Tenderness over distal tibia or tenderness over fibula -Inability to weight bear for 4 steps

Question 3

Tretament of stable fracture?

Answer 3

Walking cast ORSplint for 6 weeks

Question 4

What is a stable fracture?

Answer 4

-Isolated distal fibular fracture -No medial fracture -No rupture of deltoid ligament -More common

Question 5

What is an unstable fracture?

Answer 5

-Distal fibular fracture -Rupture of deltoid ligament -Risk of posttraumatic OA

Question 6

Signs/symptoms of unstable fratcure?

Answer 6

Suspected by bruising and tenderness medially

Question 7

Investigation of unstable fracture?

Answer 7

Talar shift on AP view X-ray

Question 8

Treatment of unstable fracture?

Answer 8

-Anatomic reduction -Rigid internal fixation -Minimize risk of OA with any talar shift

Question 9

Bimalleolar fractures?

Answer 9

Treatment: ORIF Unstable