Weber C fractures are almost always unstable and require surgical intervention. Weber B fractures occur at the level of the tibiofibular ligaments, just above the talar dome, and happen primarily through a mechanism of ankle supination and external rotation (SER).

Does Weber B need surgery?

Weber C fractures are almost always unstable and require surgical intervention. Weber B fractures occur at the level of the tibiofibular ligaments, just above the talar dome, and happen primarily through a mechanism of ankle supination and external rotation (SER).

What bones are involved in a Bimalleolar fracture?

Bimalleolar ankle fracture is a fracture that occurs in both the lateral and medial malleoli at the distal end of the tibia and fibula bones that articulate with talus bone to form the ankle joint or tibiotalar joint. This joint is in the mortise and tenon joint classification.

What is malleolar fracture?

A medial malleolus fracture is a break in the tibia, at the inside of the lower leg. Fractures can occur at different levels of the medial malleolus.

Does lateral malleolus fracture need surgery?

Lateral malleolus fractures are often stable and can be treated without surgery. When a lateral malleolus fracture is accompanied by a sprain of the ligament on the inside of the ankle (the deltoid ligament), your injury may be unstable and may require surgery.

Can you walk on a Weber B fracture?

You may walk on the foot as comfort allows. You will find it easier to walk with crutches in the early stages. Follow up: There is a small chance that this type of fracture may displace (move).

Does a Weber B fracture need a cast?

In adults with a stable Weber B type fibula fracture, a strategy of immobilising the injured ankle for only three weeks in either a traditional cast or a simple orthosis resulted in ankle function and fracture healing non-inferior to that of conventional immobilisation for six weeks in a cast, without an increased risk …

What is the difference between a bimalleolar & trimalleolar fracture?

The typical bimalleolar fracture involves bone injury to the inner and outer side of the ankle. People who sustain a trimalleolar ankle fracture also have a bone injury at the back of the tibia (posterior malleolus fracture) near the ankle joint.

How serious is a bimalleolar fracture?

Bimalleolar fractures can cause severe pain, swelling, and bruising in the injured ankle. They also can be tender to the touch and make walking or putting any weight on the affected foot very difficult and painful.

What is a syndesmosis?

A syndesmosis is defined as a fibrous joint in which two adjacent bones are linked by a strong membrane or ligaments. This definition also applies for the distal tibiofibular syndesmosis, which is a syndesmotic joint formed by two bones and four ligaments.

What is Pott fracture?

A Pott’s fracture is a fracture affecting one or both of the malleoli. During activities such as landing from a jump (volleyball, basketball) or when rolling an ankle, a certain amount of stress is placed on the tibia and fibula and the ankle joint.

How serious is a lateral malleolus fracture?

Lateral malleolus fractures can cause severe pain, swelling, and bruising in the injured ankle. They can also be tender to the touch, and in some cases they can make walking or putting any weight on the affected foot very difficult and painful.

What’s the worst ankle fracture?

A trimalleolar ankle fracture is when your ankle breaks in three separate places. Only 7% of all ankle breaks are trimalleolar ankle fractures. They are rare, and they are among the worst kinds of ankle fractures.

What is the pathophysiology of syndesmotic injury of the ankle?

Syndesmotic injury may occur in isolation or may be associated with ankle fracture. In the absence of fracture, physical examination findings suggestive of injury include ankle tenderness over the anterior aspect of the syndesmosis and a positive squeeze or external rotation test.

Where is the fibula unstable in a syndesmotic injury?

(OBQ10.40) In an isolated ankle syndesmotic injury, the fibula is unstable in the incisura fibularis of the tibia. In what direction is the fibula most unstable? (OBQ10.121) A 34-year-old man sustains a twisting injury to his left ankle playing soccer. Radiographs from the ER are provided in figures A and B.

What is the treatment for syndesmotic ankle sprains with diastasis?

Plain stress radiographs of the ankle are required to diagnosis complete syndesmosis injuries with tibiofibular diastasis. Treatment is nonoperative for syndesmotic sprains without diastasis or ankle instability. Operative management is indicated for patients with diastasis of the tibiofibular joint or injuries with associated fractures.

What is an operative syndesmosis screw fixation?

Operative syndesmosis screw fixation indications syndesmotic sprain (without fracture) with instability on stress radiographs. syndesmotic sprain refractory to conservative treatment. syndesmotic injury with associated fracture that remains unstable after fixation of fracture.