Understanding Ankle Injuries and Treatment Options
Explore the anatomy of deltoid ligaments, fibula, medial malleolus, and posterior malleolus in ankle injuries. Learn about deformities, swelling, and bruises associated with these injuries. Discover diagnostic techniques like radiographs and Lauge-Hansen classification. Delve into non-operative and operative management options, including short-leg casts, ORIF procedures, and plaster applications for fractures.
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Presentation Transcript
Deltoid Ligaments Fibula Medial malleolus Posterior malleolus
1. Deformity 2. Swelling 3. Bruises 4. Antalgic gait
1. Radiographs External rotation stress radiograph Clear space >5mm - 2. AP view Lateral view Oblique view - -
Lauge-Hansen Supination adduction Supination external rotation Pronation aduction Pronation external rotation
A B C Lateral malleolar
Non-operative short-leg walking cast/boot <3mm displacement <25% pasterior malleolar fracture <2mm step-off - - - -
O.R.I.F Anatomic reduction -
Displaced O.R.I.F
3mm displaced O.R.I.F