L12: Foot and ankle Injury

Question 1

Answer 1

Question 2

When do we XRay an Ankle?

Answer 2

Ottawa Ankle Rules

Ankle Xray is only required if:

• There is any pain/tenderness in the Medial malleolus OR lateral malleolus
  OR
• An inability to bear weight immediately and in the ER
  for 4 steps

Question 3

Answer 3

Question 4

Answer 4

Question 5

Accessory Ossicle within the tendon of fibularis longus?

Answer 5

Question 6

Answer 6

Question 7

What accounts for 90% of fractures of the base of 5th metatarsal?

Answer 7

Question 8

What is seen here?

Answer 8

Stress Fracture of 5th Metatarsal (LEAST COMMON)

Question 9

What is seen here?

Answer 9

Pseudo Jones fracture = avulsion fracture of 5th metatarsal styloid

Question 10

What is seen here?

Answer 10

Jones fracture, still in intertarsal, is within 3 cm of the tarsometatarsal junction, DOES NOT involve the articular surface

Question 11

What is this injury called?

Answer 11

Lisfranc Injury

Question 12

Signs of Lisfranc Injury?

Answer 12

• Plantar Ecchymosis Sign
• The fleck sign
• Widening of metatarsals

Question 13

When do we X-Ray a Foot?

Answer 13

Ottawa Foot Rules

Foot Xray is only required if:

• Pain/tenderness in the Base of the 5th Metatarsal or Navicular bone

OR

• An inability to bear weight immediately and in the ER
  for 4 steps

Question 14

What is the preferred XRay angle to asses Ankle Fractures?

Answer 14

Question 15

Classification of this Ankle Injury?

Answer 15

Weber A

Question 16

Classification of this Ankle Injury?

Answer 16

Weber B

Question 17

Classification of this Ankle Injury?

Answer 17

Weber C

Question 18

What is this injury?

Answer 18

Weber B: Fracture medially is at height of syndesmosis

Question 19

Tests for Inferior Tibiofibular syndesmosis?

Answer 19

Question 20

Answer 20

Question 21

Innervation of the foot?

Answer 21