What is a ser 4 ankle fracture?
The sequence of injury in a SER fracture is anterior tibiofibular ligament disruption (SER-I), oblique fibula fracture (SER-II), rupture of posterior tibiofibular ligament or posterior malleolus fracture (SER-III) followed by deltoid ligament rupture or medial malleolus fracture (SER-IV).
What is a sad ankle fracture?
Abstract. Background: Supination adduction (SAD) fractures are rotational ankle fractures with a characteristic vertical medial malleolus fracture and tension failure fibula fracture. While these fractures are considered rotational injuries, they can have joint impaction that could lead to early joint degeneration.
What is the protocol for a broken ankle?
At 12 weeks begin gentle running / higher impact activities. DRIVING: You may begin driving when you are fully weight bearing on right foot without crutches if right ankle. Be certain to practice in a parking lot or lightly used road before getting on the major roads. DO NOT DRIVE WITH BOOT ON RIGHT ANKLE.
What is Weber C fracture?
Weber C fractures can be further subclassified as 6. C1: diaphyseal fracture of the fibula, simple. C2: diaphyseal fracture of the fibula, complex. C3: proximal fracture of the fibula. a fracture above the syndesmosis results from external rotation or abduction forces that also disrupt the joint.
When should you stop a broken ankle?
Reduction of a closed ankle dislocation or fracture-dislocation should be attempted soon after the diagnosis is made. An associated neurovascular deficit or a fracture-dislocation with skin tenting that threatens skin penetration warrants immediate reduction.
How bad is a Trimalleolar fracture?
A trimalleolar fracture is a serious injury that can affect your quality of life and cause long term problems: You’ll need ankle surgery to repair your trimalleolar fracture. You’ll be in a cast or a brace or brace while your ankle heals. It can take months to recover from a trimalleolar fracture.
How long does a Weber C fracture take to heal?
This is classified as a potentially stable Weber C type fracture. Healing: This normally takes approximately 6 weeks to heal. Pain and Swelling: The swelling is often worse at the end of the day and elevating it will help. Pain and swelling can be ongoing for 3-6 months.
How much force does it take to break an ankle?
As a rough estimate, it would take 218 pounds of pressure to produce a tibial fracture in a healthy adult using a hammer. You could decrease the force requirement by choosing a tool with less surface area, such as a hatchet—then again, you’d be increasing the risk of soft tissue damage and significant blood loss.
How long should you stay off a fractured ankle?
It takes around six to 10 weeks to recover from a broken ankle. During this time, you will probably need to wear a cast or boot. Most people are able to walk normally again and resume their daily activities by around three months.
Can a ser type ankle fracture be fixated?
Lateral malleolus fractures associated with SER type ankle fractures are often fixated with a neutralizing plate on the lateral aspect of the fibula. However, some of the complications that can result in a lateral neutralizing plate fixation include prominent hardware, possible intra-articular screw placement, poor distal
How is the diagnosis of an ankle fracture made?
Diagnosis is made with orthogonal radiographs of the ankle. Treatment can be nonoperative or operative depending on fracture displacement, ankle stability, syndesmosis injury, and patient activity demands. 1. Talofibular sprain or distal fibular avulsion
How is an ankle fracture treated in a 68 year old woman?
(OBQ08.210) A 68-year-old female sustains a closed ankle fracture and is treated with open reduction and internal fixation. Her postoperative radiographs are shown in Figure A. Widening of the tibia-fibular clear space with external rotation stress would be a result of injury of which structure?
What is the normal clear space for an ankle fracture?
normal ≤ 4 mm on mortise or stress view. medial clear space of >5mm with external rotation stress applied to a dorsiflexed ankle is predictive of deep deltoid disruption. increased tibiofibular clear space. measure clear space 1 cm above joint. normal <6 mm on both AP and mortise views. lateral malleolus fractures.