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Ankle fractures

Changed by Henry Knipe, 6 Jul 2016

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Title was changed:
ankle fracturesAnkle fracture

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Title was changed:
pottPott ankle fracture

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Title was changed:
ankleAnkle fracture classification

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Title was changed:
classificationClassification of ankle fractures

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Ankle fractures account for 9~10% of fractures encountered in trauma, preceded only in incidence by proximal femoral fractures in the lower limb1. They have a bimodal presentation, involving young males and older females2.

Ankle Ankle injuries play a major part in post multi traumamultitrauma functional impairment thereby necessitating a detailed evaluation.  

Classification

The first classification system was proposed by Percival Pott3, describing fractures in terms of malleoli involved: unimalleolar, bimalleolar and trimalleolar. Despite its ease to identify fractures and decreased inter/intra observer variability, it has been supersededhttp://radiopaedia.org/users/jahangia by two systems of classification which takes into consideration the rotational mechanism of injury and the stability of the fracture. Each, each has its own advantages and disadvantages:

Radiographic features

An approach to reading ankle radiograph can be read here.

Treatment and prognosis

Results following anatomic reduction of a displaced ankle fracture are good. Post traumatic arthritis has been reported in 14~15% of patients despite an anatomic reduction, likely due to chondral injury6

  • -<p><strong>Ankle fractures</strong> account for 9% of fractures encountered in trauma, preceded only by proximal femoral fractures in the lower limb<sup>1</sup>. They have a bimodal presentation, involving young males and older females<sup>2</sup>. </p><p>Ankle injuries play a major part in post multi trauma functional impairment thereby necessitating a detailed evaluation.  </p><h6>Classification</h6><p>The first classification system was proposed by <strong>Percival Pott</strong><sup>3</sup>, describing fractures in terms of malleoli involved: unimalleolar, bimalleolar and trimalleolar. Despite its ease to identify fractures and decreased inter/intra observer variability, it has been <strong>superseded</strong> by two systems of classification which takes into consideration the rotational mechanism of injury and the stability of the fracture. Each has its own advantages and disadvantages. </p><ul>
  • +<p><strong>Ankle fractures</strong> account for ~10% of fractures encountered in trauma, preceded only in incidence by proximal femoral fractures in the lower limb. They have a bimodal presentation, involving young males and older females. Ankle injuries play a major part in post multitrauma functional impairment thereby necessitating a detailed evaluation.  </p><h4>Classification</h4><p>The first classification system was proposed by <strong>Percival Pott </strong><sup>3</sup>, describing fractures in terms of malleoli involved: unimalleolar, bimalleolar and trimalleolar. Despite its ease to identify fractures and decreased inter/intra observer variability, it has been http://radiopaedia.org/users/jahangia by two systems of classification which takes into consideration the rotational mechanism of injury and the stability of the fracture, each has its own advantages and disadvantages:</p><ul>
  • -<a href="/articles/lauge-hansen-classification-of-ankle-injury">Lauge-Hansen classification</a><sup>4</sup>
  • +<a href="/articles/lauge-hansen-classification-of-ankle-injury">Lauge-Hansen classification</a> <sup>4</sup>
  • -<a href="/articles/weber-classification-of-ankle-fractures">Danis-Weber classification</a><sup>5</sup>
  • +<a href="/articles/weber-classification-of-ankle-fractures">Danis-Weber classification</a> <sup>5</sup>
  • -</ul><h6>Radiographic features</h6><p>An <a href="/articles/ankle-radiograph-an-approach">approach to reading ankle radiograph</a> can be read here.</p><h6>Treatment and prognosis</h6><p>Results following anatomic reduction of a displaced ankle fracture are good. Post traumatic arthritis has been reported in 14% of patients despite an anatomic reduction, likely due to chondral injury<sup>6</sup>. </p><p> </p><p> </p><h6> </h6><p> </p>
  • +</ul><h4>Radiographic features</h4><p>An <a href="/articles/ankle-radiograph-an-approach">approach to reading ankle radiograph</a> can be read here.</p><h4>Treatment and prognosis</h4><p>Results following anatomic reduction of a displaced ankle fracture are good. Post traumatic arthritis has been reported in ~15% of patients despite an anatomic reduction, likely due to chondral injury <sup>6</sup>. </p><p> </p><p> </p><h6> </h6><p> </p>

Systems changed:

  • Trauma

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