Learning objectives
- Review the most common elementary traumatic bone lesions of the ankle and foot
- Indicate the contribution of imaging in the traumatic injuries of the ankle and foot
Background
- Ankle and foot have a complex anatomy.
They are formed by bone and ligamentous structures that are extremely important for ankle and foot function and may be the seat of trauma.
Imaging,
particularly CT plays an important role in the assessment of the lesions in trauma thanks to multiplanar reconstructions that can answer all the questions in the orthopedic surgeon and guide therapeutic.
Findings and procedure details
We illustrate and discuss radiologic findings and features of:
1/Malleolar Fracture:
The malleolar fracture is very common: ranked 3rd after wrist and the proximal end of the femur fractures.These fractures are joint fractures and thus generating osteoarthritis if the bone reduction was not perfect.
The bimalleolar fractures are the most common.
Uni-malleolar fractures are usually associated with a contralateral ligament rupture of the ankle making an equivalent bimalleolar fracture.
Bimalleolar fractures have been classified according to the AO depending on the topographyof the fibular line...
Conclusion
Traumatic injuries of the foot and ankle are frequent and constitute a true public health problem.
The complex anatomy of this area and its association to other injuries in polytraumatized patients can lead to delayed diagnosis with worsened functional prognosis.
Accurate diagnosis relies on good knowledge of osseous and ligamentous lesions and their associations and sometimes requires the use of additional imaging techniques including ultrasound and computed tomography..
References
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Rahmi M,
Arsi M,
Hattouma N,
Maidine A,
Fnini S,
Trafeh M.
Bimalleolar Fractures and Their Equivalents (About 200 cases).
The Pan Arab Journal of Orthopaedics and Trauma,
07/2002;6(2):209-215.
[2] Juliano PJ,
Dabbah M,
Harris TJ.
Talar neck fractures.
Foot Ankle Clin 2004;9:723-36.
[3] Specchiulli F,
Gabrieli R,
Di Carlo V,
MaioranaB.Peritalar dislocations.
The Foot,
03/2007;17(1):10-14.
[4] Freund KG.
Subtalar dislocations: A review of the literature.
J Foot Surg 1989;28(5):429–32.
[5] Wagner R,
Blattert TR,
Weckbach A.
Talar dislocations.
Injury 2004;35:SB 36-45....