![]() ![]() ![]() Fractures of the Ankle Joint: Investigation and Treatment Options. ![]() Goost H, Wimmer M, Barg A, Kabir K, Valderrabano V, Burger C. Evaluation of the Syndesmotic-Only Fixation for Weber-C Ankle Fractures with Syndesmotic Injury. CURRENT Diagnosis & Treatment in Orthopedics, Fourth Edition. 10 Date of Service Diagnosis Code (ICD-9) Diagnosis Code (ICD. Musculoskeletal Eponyms: Who Are Those Guys? Radiographics. WITH PERCUTANEOUS PINNING, EAC TREATMENT OF ANKLE FRACTURE TREAT METATARSAL FRACTURE. It was later modified and popularized by the Swiss orthopedic surgeon, Bernhard Georg Weber (1929-2002), in 1972 2. This classification was first described by the Belgian general surgeon, Robert Danis (1880-1962), in 1949. Usually associated with an injury to the medial side Weber C fractures can be further subclassified as 6Ĭ1: diaphyseal fracture of the fibula, simpleĬ2: diaphyseal fracture of the fibula, complexĪ fracture above the syndesmosis results from external rotation or abduction forces that also disrupt the joint Medial malleolus fracture or deltoid ligament injury often presentįracture may arise as proximally as the level of fibular neck and not visualized on ankle films, requiring knee or full-length tibia-fibula radiographs ( Maisonneuve fracture) Tibiofibular syndesmosis disruption with widening of the distal tibiofibular articulation Weber B fractures could be further subclassified as 9ī2: associated with a medial lesion (malleolus or ligament)ī3: associated with a medial lesion and fracture of posterolateral tibiaĪbove the level of the syndesmosis (suprasyndesmotic) Variable stability, dependent on the status of medial structures (malleolus/ deltoid ligament) and syndesmosis may require open reduction and internal fixation (ORIF) 27816 Closed treatment of trimalleolar ankle fracture Since the ankle joint is where the tibia and fibula meet the Talus this is where ankle fractures happen you would code three fractures if all three different bones were involved in the treatment of a trimalleolar fracture. Tibiofibular syndesmosis usually intact, but widening of the distal tibiofibular joint (especially on stressed views) indicates syndesmotic injuryĭeltoid ligament may be torn, indicated by widening of the space between the medial malleolus and talar dome Usually stable if medial malleolus intact treat with CAM Walker or Moon Boot with crutches and weight bear as tolerated with them for 6 weeksĭistal extent at the level of the syndesmosis (trans-syndesmotic) may extend some distance proximally doi:10.Below the level of the syndesmosis (infrasyndesmotic) Clinical Implication of Os subfibulare: Analysis of Pediatric Ankle Inversion Injury in a Primary Care Unit. ![]() Hyuk Soo Shin, Dong Yeon Lee, Doo Jae Lee. Management of foot pain associated with accessory bones of the foot: two clinical case reports. Surg Radiol Anat (full text) - doi:10.1007/s0027-9 - Pubmed citation Incidence of accessory ossicles and sesamoid bones in the feet: a radiographic study of the Turkish subjects. Symptomatic os subfibulare caused by accessory ossification: a case report. Eur Radiol (full text) - doi:10.1007/s0033-8 - Pubmed citation Accessory ossicles and sesamoid bones of the ankle and foot: imaging findings, clinical significance and differential diagnosis. ![]()
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