Methods: SER type 4 ankle fractures are considered unstable and are generally treated with surgical fixation.

In addition, the term “bimalleolar fracture” is ambiguous because it can be used for fractures of any two of the three malleoli. ankle fracture in a geriatric patient. They often occur from high energy injuries such as falls and motor vehicle collisions.

Apr 29, 2015 - Bimalleolar ankle fracture | Radiology Case | Radiopaedia.org

If necessary, the syndesmosis can be reduced open, with screw fixation placed parallel to the joint. By contrast, the Lauge-Hansen classification system includes 13 separate injuries divided into four groups ( Table 1 ). A fractured ankle can range from a simple break in one bone, which may not stop you from walking, to several fractures, which forces your ankle out of place and may require that you not put weight on it for a few months.

A 20 year old male fracture and dislocated his ankle when he jumped or fell 15 feet off a roof.
A trimalleolar fracture is a type of ankle fracture. In addition to the force of impact, there is often a significant force of rotation on the ankle seen in sports injuries and serious falls. Click image to align with top of page. A broken ankle is also known as an ankle "fracture." This classification is based on the level of the fracture of the fibula. This does not deal with fracture pattern, mechanism of injury or the ligamentous injuries. Spiral fractures may occur in downhill skiers, who put their feet into rigid boots that fit firmly onto skis. Type 1-Fracture of fibula below the level of syndesmosis. It happens when you fracture three different areas in your ankle called the malleoli.

Type 2-Fracture of fibula at the level of syndesmosis. If a ski breaks or changes direction abruptly, an acutely twisted leg may result. Type 1-Unimalleolar, Type 2-Bimalleolar and Type 3-Trimalleolar.
Transverse medial malleolus fracture; Lateral malleolus fracture - at level of ankle joint (Weber B) Joint widened medially due to lateral displacement of the talus Tap on/off image to show/hide findings. The fracture in the introductory case is known as a Weber B fracture by some orthopedic specialists (see subsequent discussion). Bimalleolar fractures - AP. Hover on/off image to show/hide findings. Most bimalleolar and trimalleolar ankle fractures are serious injuries. 2) Danis Weber's Classification . After placement of plate and screws, intraoperative stress tests can be used to assess for syndesmotic widening. Bimalleolar fractures - AP. This means that one or more of the bones that make up the ankle joint are broken.


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