Ankle fractures Flashcards
when might surgery be performed
open fractures
unimalleolar with tallor shift
bi/tri malleolae
maissoneuve/pilon
what are the ottawa rules
bone tenderness at the posterior edge or tip of the lateral malleolus or
Bone tenderness at the posterior edge or tip of the medial malleolus or
Inability to bear weight for 4 steps both immediately after the injury and when examining.
what is a maissoneuve fracture
proximal tibial fracture with syndesmosis and deltoid injury
when to consider maissoneuve fracture
if clear space disturbance
what is a pilon fracture and what might cause it
featuring distal tibia incluing articular surface
often a fall from height
is a pilon fracture serious
yes
reduction surgery
reposition of bones to normal anatomy
when is closed reduction performed
for stable fractures
weber a and b
non displaced medial malleolar
how are they diagnosed
xray
ct if inusr e
mri for soft tissue
what is between the tibia and fibula
interosseous memrbane
what prevents over eversion
deltoid ligament
onmedial foot
what does the lauge hansen classification take into account
the position the fall happeed
features/ symptoms
unable to weight bear swelling
discolouration
reduced ROM
what does the weber classification take into account
where the fracture is
where is a weber a fracture
distal to syndesmosis
