Ankle Fractures Flashcards
1
Q
Investigation of ankle fractures?
A
- Ottawa criteria
- > merit an x-ray
2
Q
What is Ottawa criteria?
A
-Tenderness over distal tibia
or tenderness over fibula
-Inability to weight bear for 4 steps
3
Q
Tretament of stable fracture?
A
Walking cast
OR
Splint for 6 weeks
4
Q
What is a stable fracture?
A
- Isolated distal fibular fracture
- No medial fracture
- No rupture of deltoid ligament
- More common
5
Q
What is an unstable fracture?
A
- Distal fibular fracture
- Rupture of deltoid ligament
- Risk of posttraumatic OA
6
Q
Signs/symptoms of unstable fratcure?
A
Suspected by bruising and tenderness medially
7
Q
Investigation of unstable fracture?
A
Talar shift on AP view X-ray
8
Q
Treatment of unstable fracture?
A
- Anatomic reduction
- Rigid internal fixation
- Minimize risk of OA with any talar shift
9
Q
Bimalleolar fractures?
A
Treatment: ORIF
Unstable
