Ankle fracture

Ankle fracture

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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

• 
  Weber A ankle fracture
• 
  Weber A ankle fracture
• 
  Weber A ankle fracture

Weber C ankle fracture

• 
  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

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