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Foot & Ankle
intermediate
X-Type

Ankle Fracture Classification and Treatment

Ankle Trauma

A 42-year-old woman presents after twisting her ankle while stepping off a curb. She has significant ankle swelling and tenderness over the lateral malleolus and medial ankle. Radiographs show an oblique fibular fracture at the level of the syndesmosis with medial clear space widening but no medial malleolus fracture. Regarding ankle fracture classification and treatment:

Mark each as TRUE or FALSE

A

The Weber classification is based on the level of the fibular fracture relative to the syndesmosis: ...

B

The Lauge-Hansen classification describes mechanism of injury based on foot position (supination or ...

C

Weber A fractures are always unstable and require surgery; Weber C fractures are always stable; the ...

D

Stability assessment is key: medial clear space widening greater than 4-5mm on mortise view (or grea...

E

Surgical principles include anatomic reduction of the fibula (restores mortise), syndesmotic fixatio...

Answer the questions to see explanations

Click T (True) or F (False) for each option