Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Medial ankle tenderness
2%
58/2329
Medial ankle ecchymosis
1%
15/2329
Squeeze test
20/2329
Stress radiography of the ankle
95%
2218/2329
Canale view radiograph
0%
4/2329
Select Answer to see Preferred Response
Figure A shows a lateral malleolar fracture from a rotational-type injury. Evaluation of the medial structures (deltoid ligament) is important for therapeutic reasons, as medial sided instability will portend a poor prognosis if treated nonoperatively. The referenced study by McConnell et al showed that physical exam is a poor indicator of medial ankle injury and that stress radiography is needed for proper medial ankle evaluation. All ankles found to be stable via stress examination healed with an intact mortise. The study by Gill et al showed that gravity stress radiographs are equivalent to manual stress radiographs of the ankle when evaluating rotational ankle fractures. This was true when both pronation-external rotation and supination-external rotation ankle fractures were examined. Illustration A shows the proper way to obtain a gravity stress radiograph.
4.6
(29)
Please Login to add comment