Bones: tibia, fibula, talus
Mortise: tibial plafond, medial and lateral malleolus
Ligaments: syndesmotic, lateral collateral, and medial collateral (deltoid) ligament
Two common classif...
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
Immobilize in temporary cast/splint and protect with crutches/non–weight bearing
1 to 2 weeks to allow decreased swelling, if not open or irreducible fracture (2)[C]
Ice and ...
Orthopedic follow-up: serial x-rays
In children, sclerotic lines on x-ray (Parker-Harris growth arrest lines) indicate growth disturbance (5)[C...
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
OAR are nearly 100% sensitive in determining the need for x-rays.
Assess neurovascular status, ability to bear weight, associated injuries.
Assess joint above/below (i.e., Maisonneuve).
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