![]() Such fractures can be very painful and may be accompanied by vertebral fractures. Fractures of the calcaneum often occur as a result of a fall from height. The bony anatomy of the foot means that a variety of fractures are possible. If this cannot be achieved by manipulation and plaster cast, an individual may have to undergo an open reduction with internal fixation (ORIF) followed by immobilisation in a plaster cast. If displaced, a surgeon should reduce the fragments to the normal anatomical position of the joint. Disruption to articular surfaces may lead to the development of osteoarthritis.įractures without displacement can be treated with a below knee cast that may be applied for 3-6 weeks. Examples include the Danis-Weber classification which identifies the level of injury and the Lauge-Hansen classification which is based on the mechanism of the injury which have predictable patterns and imaging findings.Ĭomplications of ankle fractures can include reduced range of motion at the ankle and foot joints, as a result of peri-articular and intra-articular adhesions or disruption of articular surfaces. Several classifications exist and are used to determine the severity of injury and management. Ottawa rules provide clinicians with a tool to decide whether the joint should be imaged or not. Ankle fractures are most commonly diagnosed through clinical examination and x-ray.
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