Best Practice Case Studies-Case 114 Asset 1 Bimalleolar Ankle Fracture

Case 114 Asset 1 Bimalleolar Ankle Fracture

Video Transcription

Video Summary

This video reviews ankle fracture patterns using two ED cases. The first shows a bimalleolar fracture: a nondisplaced medial malleolus fracture and a mildly displaced distal fibular fracture, with CT confirming no posterior malleolar injury. The second demonstrates a trimalleolar fracture with medial, lateral, and posterior malleolar fractures plus posterior tibiotalar dislocation, later reduced and casted. It explains that posterior malleolar involvement suggests a more unstable, higher-energy injury. The video also notes the importance of assessing medial clear space, syndesmotic injury, and possible proximal fibular (Maisonneuve) fracture when evaluating ankle trauma.

Meta Tag

Edition 4th Edition

Related Case 4th Edition, Case 114

Topic Ankle

Keywords

4th Edition

4th Edition, Case 114

Ankle

ankle fracture

bimalleolar fracture

trimalleolar fracture

posterior malleolar injury

syndesmotic injury