INTRODUCTION Anterior Talofibular Ligament (ATFL) rupture is the most commonly injured anatomic structure in lateral ankle sprain. In some cases, ATFL avulsion fracture from the lateral malleolus may occur instead of purely ligamentous injuries. The ATFL avulsion fracture is detected as a small ossicle at the tip of lateral malleolus on direct radiographs, which is called os subfibulare in chro...

We assessed the long-term (20 years) outcome of closed reduction and immobilisation in 19 patients with an isolated fracture of the posterior malleolus of the ankle treated at a single hospital between 1985 and 1990. The assessments used were an Olerud functional questionnaire score, physical examination using a loaded dorsal and plantar range of movement measurement, radiological analysis of m...

To cite: Veger HTC, Bosman W-M, van den Broek MA, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014205955 DESCRIPTION A 66-year-old man was referred to the general surgeon by his general practitioner for excision of a ‘bump’ on the anterior side of his left ankle because of pain due to irritation from shoe gear. This ‘bump’ slowly started since several m...

BACKGROUND Supramalleolar osteotomy (SMOT) is a well-accepted treatment method for mid-stage varus ankle osteoarthritis (OA). However, few studies have examined the role of fibular osteotomy in SMOT. The objective of the current study was to compare the biomechanical and clinical outcomes of SMOT with and without fibular osteotomy. METHODS Eight cadaveric lower legs with 10° varus/valgus SMOT...

7 Fractures of the malleolus associated with syndesmotic injuries are common. Diagnosis of the syndesmotic injury often is missed and requires stress testing. An initial stable syndesmosis on x-ray may get displaced in later x-ray and a high suspicion Index can prevent one from missing this injury. Figure 1 and 2. Accurate reduction and stable fixation of the syndesmosis are critical to outcome...

Abstract Background This study aimed to analyze quantitative correlation between the posterior malleolus fracture and fixation rotational stability of ankle explore supplementary surgical indications for fracture. Methods Twenty fresh frozen cadaver specimens were selected dissected. Based on tibial insertion ligament complex, model supination external rotation stage 3 with a malleolar fragment...