Ankle fracture: Difference between revisions
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==Weber Classification== | ==Weber Classification== | ||
Uses the position of the level of the fibular fracture in its relationship to its height at the ankle joint. | Uses the position of the level of the fibular fracture in its relationship to its height at the [[ankle joint]]. | ||
*Type A: fracture below the ankle joint | *Type A: fracture below the [[ankle joint]] | ||
*Type B: fracture at the level of the joint, with the tibiofibular ligaments usually intact | *Type B: fracture at the level of the joint, with the tibiofibular ligaments usually intact | ||
*Type C: fracture above the joint level which tears the syndesmotic ligaments. | *Type C: fracture above the joint level which tears the syndesmotic ligaments. | ||
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**Stage 2: the talus displaces and fractures the fibula in an oblique or spiral fracture, starting at the joint. | **Stage 2: the talus displaces and fractures the fibula in an oblique or spiral fracture, starting at the joint. | ||
**Stage 3: tear of the posteroinferior tibiofibular ligament or fracture posterior malleolus | **Stage 3: tear of the posteroinferior tibiofibular ligament or fracture posterior malleolus | ||
**Stage 4: tear of the deltoid ligament or transverse fracture medial malleolus | **Stage 4: tear of the [[deltoid ligament]] or transverse fracture medial malleolus | ||
*Pronation-Abduction (Weber C) | *Pronation-Abduction (Weber C) | ||
*Pronation-External rotation (Weber C) | *Pronation-External rotation (Weber C) | ||
Revision as of 05:00, 25 January 2009
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Weber Classification
Uses the position of the level of the fibular fracture in its relationship to its height at the ankle joint.
- Type A: fracture below the ankle joint
- Type B: fracture at the level of the joint, with the tibiofibular ligaments usually intact
- Type C: fracture above the joint level which tears the syndesmotic ligaments.
Lauge-Hansen Classification
Uses 2 words descriptors. The first word describes the position of the foot, the second word describes the motion of the foot (talus) with respect to the leg.
- Supination-Adduction (Weber A)
- Supination-External rotation (Weber B)
- Stage 1: the anteroinferior tibiofibular ligament is torn or avulsed
- Stage 2: the talus displaces and fractures the fibula in an oblique or spiral fracture, starting at the joint.
- Stage 3: tear of the posteroinferior tibiofibular ligament or fracture posterior malleolus
- Stage 4: tear of the deltoid ligament or transverse fracture medial malleolus
- Pronation-Abduction (Weber C)
- Pronation-External rotation (Weber C)
- Pronation-Dorsiflexion (Weber C)
Diagnostic Findings
Weber A ankle fracture
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Weber A ankle fracture -
Weber A ankle fracture -
Weber A ankle fracture
Weber C ankle fracture
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Weber C ankle fracture -
Weber C ankle fracture -
Weber C ankle fracture
References
- Dr. Stephen M. Pribut's Sport Pages
See Also
- Maisonneuve fracture
- Pilon fracture
- Tillaux fracture
- Triplane fracture