Operative management of a malleolar
fracture involves secured anatomic repair of a displaced lateral malleolus fracture as the most important step owing to the importance of this structure in maintenance of tibiotalar alignment.
She previously presented to a sports physician and was diagnosed with medial malleolar
He had a lateral malleolar
fracture with a vertical shear of the medial malleolus and comminution at the joint line.
Closed left malleolar
fracture with external ankle subluxation (Pott's fracture).
In Weber type A injuries the level of lateral malleolar
injury is distal to tibial plafond (Figure 2).
Prospective evaluation of the Ottawa Ankle Rules in a university sports medicine center: with a modification to increase specificity for identifying malleolar
1), (10) Indications for * Pain in the malleolar
zone, and radiographs of the ankle after acute injury * One of the following: * bone tenderness at the posterior edge or tip of the lateral malleolus * bone tenderness on the posterior edge or tip of the medial malleolus * inability to bear weight for 4 steps, both immediately after injury and at the clinical assessment Indications for * Pain in the midfoot zone, and radiographs of the foot after acute injury * One of the following: * bone tenderness at the base of the 5th metatarsal * bone tenderness of the medial midfoot (navicular) * inability to bear weight for 4 steps, both immediately after injury and at the clinical assessment
There are two types of medical treatments for lateral malleolar
fractures such as medical conservator fixation using gypsum and 6-8 weeks immobilizations, and surgical internal fixations using orthopaedic screws, Kirschner wires, wire cerclaje and metallic orthopaedic plates.
There is weak evidence from previous research in ankle fracture suggesting that female gender (Belcher et al 1997, Egol et al 2006, Lindsjo 1985), inadequate fracture reduction (Beris et al 1997, Lindsjo 1985, Weening and Bhandari 2005), medial malleolar
fracture (Broos and Bisschop 1991), posterior malleolar
fracture (Broos and Bisschop 1991, Lash et al 2002, Lindsjo 1985), older age (Egol et al 2006, Kennedy et al 1998, Shah et al 2007), or greater fracture displacement (Kennedy et al 1998) are associated with increased activity limitation after ankle fracture.
Is there an absence of significant pain when the physician presses with a thumb on the posterior edge or tip of the lateral or medial malleolar
Dislocation of the malleus is rare because the malleus is firmly attached to the tympanic membrane and to the wall of the tympanic cavity by the strong anterior malleolar
After fixation of the tibial fracture, patients were limited to only partial weight bearing for the first 6 weeks, whereas patients with malleolar
fracture were permitted full, protected weight bearing with crutches after 2 weeks, depending on local wound status and degree of pain.