Ankle Fractures

Bone Break

Resources

Measurements: https://musculoskeletalkey.com/43-ankle-fractures-and-dislocations/

Lauge-Hansen: https://www.orthobullets.com/trauma/1047/ankle-fractures

Show Notes

- Gravity Stress View

- Anatomy of the surface

- Measurements

- Resources on IPV in BC

- Ottawa Ankle rules

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Ankle X-ray

Ankle X-ray is only required if:

· There is any pain in the malleolar zone; and,

· Any one of the following:

o Bone tenderness along the distal 6 cm of the posterior edge of the tibia or tip of the medial malleolus, OR

o Bone tenderness along the distal 6 cm of the posterior edge of the fibula or tip of the lateral malleolus, OR

o An inability to bear weight both immediately and in the emergency department for four steps.

Foot X-ray series

Additionally, the Ottawa ankle rules indicate whether a foot X-ray series is required. It states that it is indicated if:

· There is any pain in the midfoot zone; and,

· Any one of the following:

o Bone tenderness at the base of the fifth metatarsal (for foot injuries), OR

o Bone tenderness at the navicular bone (for foot injuries), OR

o An inability to bear weight both immediately and in the emergency department for four steps.

Certain groups are excluded[clarification needed], in particular pregnant women, and those with diminished ability to follow the test (for example due to head injury or intoxication). Several studies strongly support the use of the Ottawa Ankle Rules in children over 6 (98.5% sensitivity);[2] however, their usefulness in younger children has not yet been thoroughly examined.

Praise Investigators. Prevalence of abuse and intimate partner violence surgical evaluation (PRAISE) in orthopaedic fracture clinics: a multinational prevalence study. The Lancet. 2013 Sep 7;382(9895):866-76.

Bhandari M, Sprague S, Dosanjh S, Petrisor B, Resendes S, Madden K, Schemitsch EH, PRAISE Investigators. The prevalence of intimate partner violence across orthopaedic fracture clinics in Ontario. JBJS. 2011 Jan 19;93(2):132-41.

IPV

https://endingviolence.org/services-directory/

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