Ankle fracture Flashcards
(12 cards)
What classification system is use for ankle fractures?
Weber system
What does the Weber system use to class fractures?
Syndesmoses between tibia and fibula
What is a Weber A fracture?
Transverse fracture below syndesmosis
Generally stable, can be treated as a bad sprain
What is a Weber B fracture?
At level f syndesmosis, extending proximally
Can be unstable
How are Weber B fractures assessed?
Weight bearing XR to look for talar shift or splaying of bones
What are Weber C fractures?
Fracture above syndesmosis
Unstable fracture
What is the presentation of ankle fractures?
History of trauma Pain Swelling and bruising Difficulty/inability to weight bear Deformity
How are ankle fractures assessed?
Ottawa ankle rules
What are the Ottawa ankle rules>
XR if 1 of
- unanle to weight bear for 4 steps
- bony tenderness of medial malleolus
- bony tenderness of lateral malleolus
- > 55yp
What XRs should be ordered for suspected ankle fracture?
AP and lateral
Weight bearing if Weber B on initial XR
What are the indications for conservative management of ankle fracture?
Stable undisplaced fractures with minimal disruption to articular surface
Weber A and some B
What are the indications for surgical management of ankle fractures?
Unstable fractures with
-talar shift
-displacement or fragmentation of articular surface
OR failure of conservative management
