An ankle fracture is also known as an ankle "fracture". This means that one or more of the bones, the broken ankle.
A broken ankle can range from a simple break in a bone, you can not stop, you walk, multiple fractures, ankle forces out of place and may require that you do not put weight on it for a few months.
In short, break the bones, is unstable ankle. It can also be damaged tapes. The tapes of the ankle hold the ankle and joint in position.
Broken ankle on people of all ages. In the last 30-40 years, doctors have an increase in the number and severity of broken ankles, what employees noted in part to one of the oldest "baby boomers".Anatomy
Three bones make up the ankle:
Tibia - shin
Fibula - smaller leg bones
Talus - a small bone between the heel bone (calcaneus) and the tibia and fibula sitting
Tibia and fibula are certain parts that make up the ankle:
Medial malleolus - within the tibia
Posterior malleolus - back of the tibia
Lateral malleolus - end of the fibula
Doctors classify ankle fractures after the area of the bone is broken. For example, a broken end of the fibula is called fracture of the lateral malleolus, or if both the tibia and fibula are broken, bimalleolar called fracture.
Two Fugues in ankle fractures involved:
Ankle - where the tibia, fibula and talus meet
Syndesmosis joint - the connection between the tibia and fibula, held together by bands
Help multiple tapes, the stable ankle.
Go to the top
Cause
Twisting or turning the ankle
Rolling of the ankle
Tripping or falling
Impact in a car accident
Go to the top
The symptoms
Since a severe sprain can feel the same as a broken ankle every violation of the ankle should be evaluated by a doctor.
The most common symptoms of an ankle fracture include:
Immediate and severe pain
Swelling
Bruises
Touch
You can not gain weight on the injured foot
Deformity ("out of place") especially if the ankle joint is dislocated, so
Go to the top
Physical Examination
History and physical examination
After the Council has occurred on your medical history, symptoms and how the injury, your doctor will do a careful examination of his ankle, foot and leg.
Imaging tests
If the doctor suspects a broken ankle, he or she, is additional tests to find out more information about his injury.
Radiographs. X-rays are the most common and imaging technique. X-rays can show whether the bone is broken, and if it offset (the distance between the broken bone). You can also show there, how many pieces of broken bones. X-rays can be taken from the leg, ankle and foot, to ensure that nothing else be injured.
Stress test. Depending on the type of ankle fracture, the doctor may put pressure on the ankle and become a special X-ray called a stress test. This X-ray is done to see if some ankle fractures require surgery.
Computed tomography (CT). This type of analysis, a cross-sectional image of the ankle to create and is sometimes performed to further evaluate the ankle injury. It is especially useful when the fracture, which, in the ankle
Magnetic resonance imaging (MRI). These provide high resolution images of both bone and soft tissues such as ligaments. For some ankle fractures, MRI can be performed to evaluate ankle.
Go to the top
Treatment: page break malleolus
A lateral malleolus fracture, a fracture of the fibula.
There are different levels at which they are broken fibula. The level of the fracture can lead to the treatment.
Non-surgical treatment
It is you do not have to be operated when the ankle is stable, which means that the broken bone is not just misplaced or misplaced. Stress radiography can be done to see if the ankle is stable. The type of treatment is required, also where the bone is broken based.
Several different methods for protection during fracture heals used. from a tennis shoe boot a short leg cast. Some doctors the patient, put the weight on the right leg, while others wait 6 weeks.
You will see your doctor regularly to his ankle repeat x-rays to ensure that the fracture fragments have not cast moves in place during the healing process.
Surgical treatment
If the fracture is relocated or ankle is unstable, the fracture may be treated with surgery. During this procedure, the bone fragments are in the first position (reduced) in its normal orientation back. They are together with special screws and metal plates which are kept fastened, the outer surface of the bone. In some cases, a screw or rod used in the bone to hold bone fragments while they heal.
Go to the top
Treatment: Medial malleolus fracture
Malleolus medialis fracture a fracture of the tibia, in the interior of the lower leg. Fractures can occur at various levels of the medial malleolus.
Medial malleolus fractures often occur with a fracture of the fibula (lateral malleolus), a fracture of the posterior part of the tibia (posterior ankle), or with an injured ankle ligaments.
Non-surgical treatment
If the fracture is not out of place, or a very small fraction of very small parts, you can be treated without surgery.
Stress radiography can be carried out, if the breakage and ankle are stable.
The fracture can be treated with a plaster short leg or a removable brace. In general, you must avoid weight on the leg for about six weeks.
You must tell your doctor regularly for repeated X-rays to ensure that the fracture is not to change position.
If the fracture is relocated or ankle is unstable, it may recommend surgery.
In some cases, surgery may be considered, even if the fracture is not out of place. This is done to reduce the risk of non-healing bone fractures (known as pseudoarthrosis), so you can move the ankle before can begin.
A fracture of the medial malleolus to impaction or bleeding from the ankle belong. The impaction occurs when a force is so great that the end of a bone moves in another. The repair of the affected fracture may require bone grafting. The graft acts as a scaffold for new bone to grow, and to reduce the risk of subsequent development of arthritis.
Depending on the fracture site bone fragments with screws, plates and screws or other wiring techniques can be attached.
0 komentar:
Posting Komentar