Fibular Fracture: Difference between revisions

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== Mechanism of Injury / Pathological Process<br>  ==
== Mechanism of Injury / Pathological Process<br>  ==


'''The Danis-Weber classification'''
'''The Danis-Weber classification<ref>Lauge-Hansen N: Fractures of the ankle: combined experimental-surgical and experimental-roentgenologic investigations. Arch Surg 1950;60(5):957-985</ref>'''
The Danis-Weber classification is based on the principle that the higher the fibular fracture, the greater the syndesmotic injury, the more likely it is to be displaced, and need for open reduction and internal fixation (ORIF)
 
'''Type A''' is a transverse fibular fracture caused by adduction and internal rotation.
'''Type A''' is a transverse fibular fracture caused by adduction and internal rotation.  


'''Type B''', is caused by external rotation, itis shown as a short oblique fibular fracture directed mediolaterally upward from the tibial plafond.  
'''Type B''', is caused by external rotation, itis shown as a short oblique fibular fracture directed mediolaterally upward from the tibial plafond.  


There are two type C fractures: '''type C 1''' is an oblique medial-to-lateral fibular fracture which is caused by abduction.
There are two type C fractures: '''type C 1''' is an oblique medial-to-lateral fibular fracture which is caused by abduction.  


'''type C 2''' fractures result from a combination of abduction and external rotation, producing more extensive syndesmotic injury and a higher fibular fracture.  
'''type C 2''' fractures result from a combination of abduction and external rotation, producing more extensive syndesmotic injury and a higher fibular fracture.  


'''In more simple terms'''
'''In more simple terms''' Danis-Weber Classification:  
Danis-Weber Classification:


The Danis-Weber classification system uses the position of the level of the fibular fracture in its relationship to its height at the ankle joint.  
The Danis-Weber classification system uses the position of the level of the fibular fracture in its relationship to its height at the ankle joint.  


'''Type A:''' fracture below the ankle joint
'''Type A:''' fracture below the ankle joint  


'''Type B:''' fracture at the level of the joint, with the tibiofibular ligaments usually intact  
'''Type B:''' fracture at the level of the joint, with the tibiofibular ligaments usually intact  


'''Type C:''' fracture above the joint level which tears the syndesmotic ligaments.
'''Type C:''' fracture above the joint level which tears the syndesmotic ligaments. [[Media:Http://www.health-res.com/calcaneus-fracture-classification/]] Follow this link for pictures&nbsp;:)<br>
[[Media:http://www.health-res.com/calcaneus-fracture-classification/]] Follow this link for pictures :)
 


== Clinical Presentation  ==
== Clinical Presentation  ==
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== References  ==
== References  ==


Lauge-Hansen N: Fractures of the ankle: combined experimental-surgical and experimental-roentgenologic investigations. Arch Surg 1950;60(5):957-985
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<references />
<references />  


[[Category:Open Physio]]
[[Category:Open_Physio]]

Revision as of 14:27, 30 May 2011

Original Editor - The Open Physio project.

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

Clinically Relevant Anatomy
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Mechanism of Injury / Pathological Process
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The Danis-Weber classification[1]

Type A is a transverse fibular fracture caused by adduction and internal rotation.

Type B, is caused by external rotation, itis shown as a short oblique fibular fracture directed mediolaterally upward from the tibial plafond.

There are two type C fractures: type C 1 is an oblique medial-to-lateral fibular fracture which is caused by abduction.

type C 2 fractures result from a combination of abduction and external rotation, producing more extensive syndesmotic injury and a higher fibular fracture.

In more simple terms Danis-Weber Classification:

The Danis-Weber classification system uses the position of the level of the fibular fracture in its relationship to its height at the ankle joint.

Type A: fracture below the ankle joint

Type B: fracture at the level of the joint, with the tibiofibular ligaments usually intact

Type C: fracture above the joint level which tears the syndesmotic ligaments. Media:Http://www.health-res.com/calcaneus-fracture-classification/ Follow this link for pictures :)

Clinical Presentation[edit | edit source]

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Management / Interventions
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Differential Diagnosis
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Resources
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References[edit | edit source]


  1. Lauge-Hansen N: Fractures of the ankle: combined experimental-surgical and experimental-roentgenologic investigations. Arch Surg 1950;60(5):957-985