Presentation
Adult patient fell and twisted ankle.
Patient Data
Age: Adult
Gender: Male
From the case:
Ankle fracture - Weber B
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Spiral fracture through the distal fibula. Fracture line through the ankle joint in keeping with a Weber B, with slight lateral talar shift (widening of medial clear space).
Well-corticated ossicle distal to the medial malleolus may be post-traumatic or congenital (i.e. an accessory ossicle).
From the case:
Ankle fracture - Weber B
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Plate and screw internal fixation of distal fibular fracture. Lateral talar shift has been reduced with reduction of the fibula - distal syndesmosis must have been obviously stable at surgery and thus no diastasis screw was used.
Case Discussion
Just a standard Weber B. Remember that it is the medial height of the fracture that counts.
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