![]() This is usually done with a plate and screws. While you are in the cast, your doctor will take X-rays to make sure that the bones do not slip out of place.īecause there are injuries to both sides of the ankle, most bimalleolar fractures need surgical repair. During this time, you cannot put weight on your ankle. Since there are injuries to both sides of the ankle, bimalleolar fractures are frequently unstable, and the ankle is often dislocated.Ī stable bimalleolar fracture may be treated with cast immobilization for several weeks. Bimalleolar Fracture and Bimalleolar Equivalent FractureĪ bimalleolar fracture occurs when both the medial malleolus and lateral malleolus are broken. Typically, the surgical repair is done by placing screws in the lower tibia from front to back. Surgical fixation is required if the fracture is large and out of place. Treatment may involve wearing a short leg cast or a removable brace. Many posterior malleolus fractures are small and do not require surgery. This is due to attachments of ligaments between the two bones. Most posterior malleolus fractures are associated with another injury, usually a fracture of the lateral malleolus. Because MRI scans are more sensitive than other imaging tests, they may be used to detect ligaments injuries.Ī posterior malleolus fracture is a fracture of the back of the tibia. MRI scans provide high-resolution images of both bones and soft tissue structures, like ligaments. It is helpful in evaluating the extent of the injury to the ankle joint. A CT scan provides detailed cross-sectional X-ray images of the ankle and is sometimes done to further evaluate the ankle injury. This X-ray is done to determine if the syndesmosis (area between the lower tibia and fibula) is injured.Ĭomputed tomography (CT) scan. Your doctor may also take X-rays of the leg and foot to make sure there are no other injuries.ĭepending on the type of ankle fracture, your doctor may put pressure on the ankle and take a special X-ray called a stress X-ray. They can also show how many pieces of broken bone there are. They can show where the bones are broken and if any of the bones are out of place (displaced). X-rays provide images of dense structures such as bone. X-rays. Most ankle fractures can be diagnosed with X-rays. If your doctor suspects an ankle fracture, they will order one or more of the following imaging tests to diagnose and evaluate the fracture In most cases, several treatment options are viable, and the choice of treatment is based on defect type and size and preferences of the treating clinician.After discussing your medical history and how the injury occurred, your doctor will do a careful examination of your ankle, lower leg, and foot. Publications on the efficacy of these treatment strategies vary. The target of these treatment strategies is to relieve symptoms and improve function. Furthermore, smaller lesions are symptomatic and when left untreated, OCDs can progress current treatment strategies have not solved this problem. Surgical options are lesion excision, excision and curettage, excision combined with curettage and microfracturing, filling the defect with autogenous cancellous bone graft, antegrade (transmalleolar) drilling, retrograde drilling, fixation and techniques such as osteochondral transplantation and autologous chondrocyte implantation (ACI). ![]() The common treatment strategies of symptomatic osteochondral lesions include nonsurgical treatment, with rest, cast immobilisation and use of nonsteroidal anti-inflammatory drugs (NSAIDs). There is a wide variety of treatment strategies for osteochondral defects of the ankle, with new techniques that have substantially increased over the last decade. In more than one third of cases, conservative treatment is unsuccessful, and surgery is indicated. Whether OLT is a precursor to more generalised arthrosis of the ankle remains unclear, but the condition is often symptomatic enough to warrant treatment. A variety of terms have been used to refer to this clinical entity, including osteochondritis dissecans (OCD), osteochondral fracture and osteochondral defect. ![]() Osteochondral lesion of the talus (OLT) is a broad term used to describe an injury or abnormality of the talar articular cartilage and adjacent bone. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |