Presentation
History of injury to right ankle and right leg due to fall at work place, today, local examination: no open wound, tenders on right ankle and lower leg.
Patient Data
Non-displaced fracture at the right medial malleolus.
Posterior malleolus fracture is noted with no significant displacement.
Non-displaced fracture at the lower third of the shaft of the right fibula.
Soft tissue shadows appear swollen.
Small calcaneal spurs.
Case Discussion
This is a simple non-displaced suprasyndesmotic fracture associated with an incomplete appearing medial malleolus fracture and a Volkmann (or posterior malleolus) fracture.
According to the AO/OTA classification this 44C1.3 or Weber C
According to Lauge Hansen, this is probably a pronation-exorotation injury Stage 4.
The treatment can be with immobilization in a plastic splint for 8 weeks.
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