ankle - Fibular fx. at same level of tibial plafond...

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Medial clear space --------- 7
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Mortise view Leg internal rotation of 15-20 degrees. ←---------------- Lateral clear space 8
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Sign/ Symptom Grade 1 Grade 2 Grade 3 Ligament tear ATFL stretched ATFL partial tear full tear Loss of Function Minimal Some Great Pain Minimal Moderate Severe Swelling Minimal Moderate Severe Ecchymosis Usually not Common Yes Difficulty bearing wt. None Usual Almost always Grades of Ankle Sprain (Ivins D. Am Fam Physician 2006;74:1714-20) 10
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Lauge-Hansen Classification Danis Weber Classification Supination- Adduction 10-20% of malleolar fx. Type A Fibular fx. distal to tibial plafond Supination- External Rotation 40-75% of malleolar fx . Spiral oblique fx of lateral malleolus Type B
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Unformatted text preview: Fibular fx. at same level of tibial plafond Pronation-Abduction 5-21% of malleolar fx. Fibular comminuted fx . Type B Pronation-External Rotation 7-19% of malleolar fx. Maisonneuve type Type C Fibular fx. above level of tibial plafond Types of Ankle Fractures 12 Four Stages (levels) of injury 1. Failure of anterior inferior tibiofibular ligament 2. Spiral lateral malleolar fx. At the level of the tibial plafond 1. Tibial plafond = tibiotalar articular surface 3. Failure of posterior inferior tibiofibular ligament 4. Medial failure of either medial malleolus or deltoid ligament Browner: Skeletal Trauma: Basic Science, Management and Reconstruction: 3 rd ed. 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31...
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ankle - Fibular fx. at same level of tibial plafond...

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