Ankle Fractures

Wendy Hin-Wing Wong, MD, MPH and Jeffrey P. Feden, MD, FACEP Reviewed 06/2017
 


BASICS

  • Bones: tibia, fibula, talus

  • Mortise: tibial plafond, medial and lateral malleolus

  • Ligaments: syndesmotic, lateral collateral, and medial collateral (deltoid) ligament

DESCRIPTION

  • Two common classif...

DIAGNOSIS

HISTORY

  • Location of pain, timing, and mechanism of injury (key historical element is exact mechanism)

  • Weight-bearing status after injury

  • History of ankle injury or surgery

  • Tetanus status

  • Assess f...

TREATMENT

GENERAL MEASURES

  • Immobilize in temporary cast/splint and protect with crutches/nonweight bearing

    • ▪ 1 to 2 weeks to allow decreased swelling, if not open or irreducible fracture 5[C]
  • Ice and ele...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Orthopedic follow-up: serial x-rays

    • ▪ In children, sclerotic lines on x-ray (Parker-Harris growth arrest lines) indicate growth disturbance 4[C].
  • ...

REFERENCES

Ankle and foot disorders. In: Hegmann KT, ed. Occupational Medicine Practice Guidelines. Evaluation and Management of Common Health Problems and Functional Recovery in Workers. 3rd ed. Elk...

CODES

ICD10

  • S82.899A Oth fracture of unsp lower leg, init for clos fx

  • S82.899B Oth fracture of unsp lower leg, init for opn fx type I/2

  • S82.56XA Nondisp fx of medial malleolus of unsp tibia, init

  • S82.66XA...

CLINICAL PEARLS

  • OAR are nearly 100% sensitive in determining the need for x-rays.

  • Assess neurovascular status, ability to bear weight, associated injuries.

  • Assess joint above (Maisonneuve).

  • Normal x-rays...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×