Suprasyndesmostic injury right ankle with deltoid ligament injury

HPI

Right ankle injury ankle 1 day earlier

PMH

Nothing significant

Tenderness right ankle medial aspect

Poll

1 of 5

After closed reduction and application of posterior splint (see Postoperative P1 images below) what would you do for definitive management?

1 Nonoperative - Cast/Walking Boot with Toe Touch Weight Bearing

2 Nonoperative - Cast/Walking Boot with Non-Weight Bearing

3 Operative Treatment

Other

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P: 8665

If you choose operative treatment, what procedure would you perform?

1 Fibular plating only

2 Deltoid ligament primary repair only

3 Fibular plating and Deltoid ligament primary repair

4 Fibular plating and syndesmotic fixation

5 Fibular fixation and would need stress exam to determine more

Other

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P: 8666

What would be your decision alogorithm for fixing the syndesmosis?

1 Based on the images above, I know it does not need to be fixed

2 Based on images above I know it needs to be fixed, and I would do during fibular plating

3 After I fix the fibula,I will do an intra-operative stress radiograph (Cotton test), and only fix it if there is widening

Other

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P: 8667

What imaging studies would you use to determine whether the patient needed surgery?

1 Injury plain radiographs only

2 Manual Stress Radiographs

3 Gravity Stress Radiographs

4 Plain xrays after the patient walks on it for a week

5 MRI

Other

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P: 8668

How would you classify this fracture according to the Lauge-Hansen classification system?

1 Supination - Adduction (SA)

2 Supination - External Rotation (SER)

3 Pronation - Abduction (PA)

4 Pronation - External Rotation (PER)

5 Cannot tell based on information provided

Other

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P: 8669

Post-procedure P1

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