Weightbearing Radiographs Facilitate Functional Treatment of Ankle Fractures of Uncertain Stability

Abstract The most important determinant in the treatment of malleolar fractures is stability. Stable fractures have an intact deep deltoid ligament and do not displace with functional treatment. If the deep deltoid/medial malleolar complex is disrupted, the talus is at risk of displacement. Weber (2...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2015-11, Vol.54 (6), p.1042-1046
Main Authors: Hastie, Graham Ross, BMBS, BMedSci, Akhtar, Sabeen, MB, ChB, Butt, Usman, MB, ChB, Baumann, Andreas, MD, Barrie, James L., MB, ChB
Format: Article
Language:English
Subjects:
Adult
Aged
Ankle Fractures - diagnostic imaging
Ankle Fractures - physiopathology
Ankle Fractures - therapy
Ankle Injuries - diagnostic imaging
Ankle Injuries - physiopathology
Ankle Injuries - therapy
Ankle Joint - diagnostic imaging
Braces
Female
fibula
Humans
Joint Instability - diagnostic imaging
Joint Instability - physiopathology
Joint Instability - therapy
ligament
Male
malleolus
Middle Aged
Orthopedics
Prospective Studies
Radiography
Recovery of Function
stability
talus
tibia
Weight-Bearing
weightbearing
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Summary:Abstract The most important determinant in the treatment of malleolar fractures is stability. Stable fractures have an intact deep deltoid ligament and do not displace with functional treatment. If the deep deltoid/medial malleolar complex is disrupted, the talus is at risk of displacement. Weber (2010) showed that weightbearing radiographs predicted stability in patients with undisplaced ankle fractures. We developed clinical criteria for potential instability and applied them to a prospective series of patients. The criteria included a medial clear space of
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2015.04.025