Medial Malleolar and Posterior Malleolar Fractures
Over the last two weeks, we've touched on ankle injuries, including the distal fibula fracture and the Ottawa ankle rules.
Today, I want to discuss medial malleolar and posterior malleolar fractures.
Ankle injuries are commonly due to "bending" forces aka inversion or eversion injuries. Typically, these are motions to the subtalar joint.
Internal rotation and external rotation of the ankle refers to the motion of the talus within the joint.
Inversion injuries = supination
Eversion injuries = pronation
This is important when classifying these fractures.
So, let's teach you what you need to know about the medial malleolar and posterior malleolar fractures including bimalleolar and trimalleolar fractures.
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Пікірлер: 14
Another great ortho vid Aakash! Thanks for "breaking down" some good tips and reminders when it comes to malleolar fractures!
Loved the video. Wish I had gotten the opportunity to watch it before getting an ankle fracture patient due to fall on ice yesterday
Thanks for the review
Its very helpful thank you
Hi I had trimeoloral fracture with ORIF 15 weeks ago . Doing ok now but having pain in medial malleolar area where my pins was installer for rope and crews ... is it normal to have pain in that area even when I touch it? Also it hurts even when I’m resting Thanks! Ps : is deltoid rupture hurts and required additionally surgery??
Great review! I recall learning the Weber classification system in school with regards to lateral ankle fractures. However, I was unfamiliar with the Lauge-Hansen system before watching the video. In reading up on this system a bit more, I find the Lauge-Hansen system helpful since it takes into consideration the mechanism of injury and motions involved so as not to miss associated/hard to see injuries. On a side note, what are your thoughts on the AO/OTA system versus the Lauge-Hansen system in terms of reliability, ease of use in clinical practice, etc. for these type of injuries?
@thehumeruspa4447
5 жыл бұрын
Hi Hannah, thanks for watching! I agree with you that Lauge Hansen provides more background in terms of the injury (perhaps, that’s what makes it complicated to learn haha) but at the end of the day, both are reliable in their own structures. They both provide reliable therapeutic measures for their respective injuries and that’s what matters in the end!
I have a isolated posterior malleolar fracture ✌. I jumped down too many steps.
@ilsas2154
Жыл бұрын
Hi, could you tell me how was it treated? And how long until you recovered?
I have an isolated posterior malleosus fracture from a bad fall. Doc said it's rare as well.
@ilsas2154
Жыл бұрын
Hi, could you tell me how was it treated? And how long until you recovered?
@jaesiraki84
Жыл бұрын
@@ilsas2154 I had to wear a cast for 6 weeks. Then a boot for 4 weeks. It's been 7 months now and I still have pain in my ankle.
@ilsas2154
Жыл бұрын
@@jaesiraki84 Thanks for answering! I am sorry you still have pain, I hope it gets better. I fell 5 weeks ago, I went to the ER "there was no fracture", the next day I went to a doctor he said "It is a grade 3 ankle sprain". I couldn't walk or even stand up, he says let's do therapy and I did, but my guts told me I should get an MRI still (the doctor said other images were unnecessary) I had an MRI done anyways to find out I have an isolated non displaced posterior malleolar fracture, I went to an ortho he told me to wear a short cast boot for 30 days, I cannot take it off and no weight bearing then he will do CT to see if we avoided surgery which I hope. He did say I will have osteoarthritis in that ankle which is a shame.
@mahdi566
Жыл бұрын
He i have same fracture recently that's was happened with me, can you please give me your contact number so that i can get some advice from you