fractures

 Bi Malleolar fracture

Definition

Medial Malleolus and Lateral Malleolus fractured

 Medial Malleolar Fractures

Epidemiology

Isolated medial malleolus fractures 3% of ankle fractures

Herscovici Classification

Type A: Avulsion

Type B: Between tip and plafond

Type C: At level of plafond

Type D: Vertical fracture

Weber Classification of fibula fractures

Femoral Neck Stress Fractures

Aetiology

Athletes with increase activity / distance

Women with eating disorders /  amenorrhea

Types

Compression / inferior neck

- < 50% protective weight bear

- > 50% emergent ORIF

Tension side / superior neck

- emergent ORIF

AO Classification

Types

1. Supracondylar

2. Unicondylar

3. Intracondylar

Xrays

Supracondylar / Extra-condylar

3 types

1. Posterior Arch

Mechanism

- axial compression with hyperextension

Associations

- 50% incidence other C1/2 fracture

- i.e. ondontoid fracture

Management

- stable

- soft / philadelphia collar

2. Isolated lateral mass fracture

Mechanism

- asymmetrical axial compression / lateral bend

Fractures

1.  Neck of 5th Metacarpal

2.  Metacarpal Shaft

3.  Metacarpal Head

4.  Base of Metacarpal Fracture Dislocations

5.  Base of Thumb Fractures / Bennett's / Rolanda

1.  Neck of 5th Metacarpal Fracture

Non operative Management

Accept 45^o angulation

- will have finger extensor lag, but will recover

History

First generation (late 70s early 80s) 

Results