Weber B ankle fracture and extra-articular calcaneal fracture

Case contributed by Heba Abdelmonem
Diagnosis certain

Presentation

Trauma

Patient Data

Age: 17 years
Gender: Male

Right foot: Comminuted fracture of the talus bone with dislocation of the talar body from both subtalar and ankle joints, note that the talar head is still in contact with the navicular bone.

Oblique fracture of the lateral malleolus at the level of the tibiofibular syndesmosis with a fracture of the medial malleolus.

Diffuse edema and swelling of the subcutaneous tissues of the right ankle and distal leg.

Left foot: Extra-articular fracture of the posterior process of the left calcaneus. No involvement of the subtalar joint.

Case Discussion

The right foot shows an oblique fracture of the lateral malleolus at the level of the tibiofibular syndesmosis with associated fracture of the medial malleolus, classified Weber B.

Fracture of right talar bone is classified as a type III according to Hawkins classification

The left foot shows a fracture of the posterior tuberosity is classified as a type C extraarticular fracture. Calcaneal fractures are classified into intraarticular and extraarticular fractures depending on the involvement of the subtalar joint.

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