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Foot & Ankle
intermediate
X-Type

Ankle Fracture Management

Ankle Injuries

A 35-year-old woman presents after twisting her ankle while stepping off a curb. Radiographs show a fibula fracture at the level of the ankle joint (syndesmosis level), a medial malleolus fracture, and increased clear space on the mortise view. There is no posterior malleolus involvement. The ankle is tender over both malleoli, and there is no proximal fibula tenderness. Regarding ankle fracture management:

Mark each as TRUE or FALSE

A

The Weber classification describes fibula fracture level relative to the syndesmosis: Type A (below ...

B

Radiographic assessment includes: medial clear space (normal less than 4mm on mortise view), tibiofi...

C

Weber A fractures always require surgery; medial clear space greater than 10mm is normal; syndesmoti...

D

Surgical indications include unstable fractures (talar shift, positive stress test), displaced fract...

E

The deltoid ligament is the primary medial stabilizer with deep and superficial components; bimalleo...

Answer the questions to see explanations

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