BIMALLEOLAR ANKLE FRACTURE: A SIMPLE FRACTURE?

To evaluate the frequency of deltoid ligament injury in bimalleolar supination-external rotation type fractures and whether there is a correlation between the size of the fractured medial malleolus and deltoid ligament injury Twenty six consecutive patients underwent magnetic resonance exams after c...

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Bibliographic Details
Published in:	Acta ortopedica brasileira Vol. 25; no. 1; pp. 48 - 51
Main Authors:	Fukuyama, Junji Miller, Pires, Robinson Esteves Santos, Labronici, Pedro José, Hungria, José Octávio Soares, Decusati, Rodrigo Lopes
Format:	Journal Article
Language:	English
Published:	Brazil Departamento de Ortopedia e Traumatologia (DOT/FMUSP) 01-01-2017 ATHA EDITORA Sociedade Brasileira de Ortopedia e Traumatologia
Subjects:	Ankle Ankle fractures Ligaments Magnetic resonance imaging Original ORTHOPEDICS Ankle Ankle fractures Magnetic resonance imaging Ligaments Tornozelo Imagem por ressonância magnética Ligamentos Fraturas do tornozelo
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Summary:	To evaluate the frequency of deltoid ligament injury in bimalleolar supination-external rotation type fractures and whether there is a correlation between the size of the fractured medial malleolus and deltoid ligament injury Twenty six consecutive patients underwent magnetic resonance exams after clinical and radiographic diagnosis of bimalleolar supination-external rotation type ankle fractures Thirteen patients (50%) presented deltoid ligament injury associated to bimalleolar ankle fracture. Partial injury was present in seven (26.9%) patients and total injury in six (23.1%). Regarding medial fragment size, the average was 2.88 cm in the absence of deltoid ligament injury. Partial injuries presented 1.93 cm and total 2.1 cm on average Deltoid ligament injury was present in 50% of bimalleolar ankle fractures. Smaller medial malleolus fragments, especially concerning the anterior colliculus, presented greater association with partial deltoid ligament injuries.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 All the authors declare that there is no potential conflict of interest referring to this article
ISSN:	1413-7852 1809-4406 1413-7852 1809-4406
DOI:	10.1590/1413-785220172501166234