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Trauma
intermediate
X-Type

Ankle Fractures - Weber Classification and Syndesmosis

Lower Limb Fractures

A 52-year-old man presents after twisting his ankle stepping off a curb. Radiographs show a spiral oblique fracture of the fibula at the level of the syndesmosis. The medial malleolus is intact but there is medial tenderness. Gravity stress views show a medial clear space of 6mm (compared to 3mm on the uninjured side). Regarding ankle fractures:

Mark each as TRUE or FALSE

A

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

B

The ankle functions as an osseoligamentous ring; isolated single-point injuries are rare, so always ...

C

Weber A fractures require syndesmosis fixation; supination-external rotation (SER) is the rarest ank...

D

One millimeter of lateral talar shift reduces tibiotalar contact area by 42%, emphasizing the import...

E

Supination-external rotation (SER) is the most common mechanism (40-75%) producing a spiral fibula f...

Answer the questions to see explanations

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