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Ankle Fractures PDF
Ankle Fractures PDF
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Pdf Summary
Ankle fractures are a common injury that can result in long-term risk of post-traumatic arthritis. The ankle joint is composed of the fibula and tibia which articulate with the talus. Ligaments also play a role in stability, with the deltoid ligament providing medial stability and the tibio-fibular ligaments stabilizing the syndesmosis laterally. Ankle fractures can be classified based on the mechanism of injury such as rotational or axial loading fractures. Rotational injuries include supination-external rotation (SER) and pronation-external rotation (PER) fractures, while axial loading injuries include supination adduction (SAD) and pronation abduction (PAB) fractures. These fractures can also have associated syndesmotic injuries. Clinical presentation of ankle fractures varies but typically includes swelling, bruising, and pain. Imaging, such as X-rays and CT scans, is used for diagnosis, while stress radiographs can help determine the extent of injury. The decision for surgery is based on the stability of the fracture and the risk of displacement. Surgical treatment aims to restore normal anatomy and can involve fixation of the bony injuries and repair of ligaments. Post-operative treatment includes a period of non-weight-bearing and rehabilitation exercises. Overall, timely and appropriate treatment can help prevent long-term complications and allow patients to return to their previous lifestyle.
Keywords
Ankle fractures
post-traumatic arthritis
fibula
tibia
talus
ligaments
deltoid ligament
tibio-fibular ligaments
rotational fractures
axial loading fractures
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