QUESTIONS 1 of 5 1 2 3 4 5 Previous Next (SBQ12FA.107) A 19-year-old male injured his ankle while playing soccer. A CT scan is shown in Figure A. What structure attaches to the site marked with the arrow, and what is the next best step in treatment? QID: 3914 FIGURES: A Type & Select Correct Answer 1 Anterior inferior tibiofibular ligament (AITFL); Open reduction and internal fixation (ORIF) of the fibula with subsequent syndesmotic assessment 88% (1602/1818) 2 Anterior talofibular ligament (ATFL); ORIF of the fibula with subsequent syndesmotic assessment 9% (160/1818) 3 Interosseous membrane; ORIF of the fibula with fixation of syndesmosis 1% (14/1818) 4 Interosseous ligament; ORIF of the fibula with subsequent syndesmotic assessment 1% (15/1818) 5 Inferior transverse ligament; ORIF of the fibula with fixation of syndesmosis 0% (8/1818) N/A Question Complexity B Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 1 Review Tested Concept Review Full Topic Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK (OBQ12.127) A 34-year-old female requests a second opinion following open reduction internal fixation (ORIF) of her left ankle three weeks ago. Which of the following is most appropriate step based on Figures A and B? QID: 4487 FIGURES: A B Type & Select Correct Answer 1 Progressive weightbearing in 3-4 weeks based on radiographs 2% (123/4955) 2 Deltoid ligament repair vs reconstruction 10% (474/4955) 3 Revision ORIF of fibula with lengthening 9% (461/4955) 4 Revision ORIF of fibula and syndesmosis 75% (3739/4955) 5 Removal of syndesmotic screws in 3-6 months 3% (126/4955) L 3 Question Complexity B Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 4 Review Tested Concept Review Full Topic (OBQ10.40) In an isolated ankle syndesmotic injury, the fibula is unstable in the incisura fibularis of the tibia. In what direction is the fibula most unstable? QID: 3128 Type & Select Correct Answer 1 Anterior-posterior 58% (1275/2190) 2 Medial-lateral 24% (525/2190) 3 Proximal-distal 2% (48/2190) 4 Varus-valgus 13% (275/2190) 5 Equivalent instability in all axes 2% (44/2190) L 1 Question Complexity C Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 1 Review Tested Concept Review Full Topic (OBQ09.204) An 18-year-old football player presents to the emergency department after sustaining an ankle injury. His radiograph is shown in figure A. What is the most appropriate definitive treatment? QID: 3017 FIGURES: A Type & Select Correct Answer 1 Open reduction and internal fixation of the medial malleolus with syndesmosis reduction and suture-button repair 3% (35/1361) 2 Repair of the anterior talo-fibular ligament 0% (2/1361) 3 Open reduction internal fixation of the fibula with syndesmosis reduction and suture-button repair 1% (15/1361) 4 Open reduction internal fixation of the medial malleolus and fibula 5% (64/1361) 5 Open reduction internal fixation of the fibula and medial malleolus with syndesmosis reduction and suture-button repair 91% (1235/1361) L 1 Question Complexity C Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 5 Review Tested Concept Review Full Topic