Ankle Trauma
A 42-year-old male presents after a motorcycle accident with severe ankle pain and deformity. The foot is markedly externally rotated and there is visible puckering of the skin over the medial malleolus ("axilla sign"). Initial closed reduction attempts in the emergency department are unsuccessful. AP radiograph shows a high fibular fracture (Weber C pattern) with ankle dislocation. The lateral radiograph demonstrates the distal fibula positioned posterior to the posterior ridge of the tibia. Regarding this injury pattern:
Mark each as TRUE or FALSE
This injury represents a Bosworth fracture-dislocation, characterized by irreducible posterior entra...
The mechanism of injury typically involves external rotation and supination forces applied to the an...
Repeated forceful attempts at closed reduction are recommended to avoid surgical intervention in the...
The "axilla sign" (medial skin puckering) is caused by severe traction on the deltoid ligament compl...
CT imaging should be obtained if the diagnosis is uncertain or to assess the syndesmosis and posteri...
Answer the questions to see explanations
Click T (True) or F (False) for each option