Does medial tenderness predict deep deltoid ligament incompetence in supination-external rotation type ankle fractures?

Journal of Orthopaedic Trauma

Volumn 21, Issue 4, 2007, Pages 244-247

  DeAngelis, Nicola A ^a   Eskander, Mark S ^a   French, Bruce G ^b  

^a UMASS MEMORIAL MEDICAL CENTER   (United States)

^b GRANT MEDICAL CENTER   (United States)

Author keywords

Ankle fractures; Deep deltoid ligament; Stress radiographs; Tenderness

Indexed keywords

ADOLESCENT; ADULT; AGED; ANKLE; ANKLE FRACTURE; ARTICLE; BONE MATURATION; CORRELATION ANALYSIS; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; FEMALE; HUMAN; LABORATORY DIAGNOSIS; LIGAMENT; LIGAMENT INJURY; MAJOR CLINICAL STUDY; MALE; MEDIAL LIGAMENT; NUCLEAR MAGNETIC RESONANCE IMAGING; OUTCOME ASSESSMENT; PREDICTION; PRIORITY JOURNAL; SENSITIVITY AND SPECIFICITY; STRESS RADIOGRAPHY; TERTIARY HEALTH CARE;

ADOLESCENT; ADULT; AGED; ANKLE INJURIES; FEMALE; FOLLOW-UP STUDIES; HUMANS; LIGAMENTS, ARTICULAR; MALE; MIDDLE AGED; PROGNOSIS; RANGE OF MOTION, ARTICULAR; SUPINATION; TRAUMA SEVERITY INDICES;

EID: 34247101093     PISSN: 08905339     EISSN: None     Source Type: Journal    
DOI: 10.1097/BOT.0b013e3180413835     Document Type: Article

References (30)

1. Bauer M, Bergstom B, Hemborg A, et al. Malleolar fractures: nonoperative versus operative treatment: A controlled study. CORR. 1985;199:17-27.
2. Bauer M, Johnson K, Nilsson B, et al. Thirty-year follow-up of ankle fractures. Acta Orthop Scand. 1985;56:103-106.
3. Brink O, Staunstrup H, Sommer J, et al. Stable lateral malleolar fractures treated with Air cast ankle brace and Donjoy R.O.M.-Walker brace: A prospective randomized study. Foot Ankle Int. 1996;17:679-684.
4. Cedell CA. Is closed treatment of ankle fractures advisable? Acta Orthop Scand. 1985;56:101-102.
5. DeSouza CJ, Gustilo RB, Meyer TJ. Results of operative treatment of displaced external rotation-abduction fractures of the ankle. JBJS. 1985;67A:1066-1074.
6. Kristensen KD, Hansen T. Closed treatment of ankle fractures: Stage II fractures followed for twenty years. Acta Orthop Scand. 1985;56:107-109.
7. Malka J, Taillard W. Results of non-operative and operative treatment of fractures of the ankle. CORR. 1969;67:159-168.
8. Philips WA, Schwartz HS, Keller CS, et al. A prospective, randomized study of the management of severe ankle fractures. JBJS. 1985;67A:67-78.
9. Port A, McVie J, Naylor G, et al. Comparison of two conservative methods of treating an isolated fracture of the lateral malleolus. JBJS. 1996;78B:568-572.
10. Wei SY, Okereke E, Winiarsky R, et al. Non-operative treatment of displaced bimalleolar and trimalleolar ankle fractures: A twenty-year follow-up. Foot Ankle Int. 1999;20:404-407.
11. Yde J, Kristensen KD. Ankle fractures: Supination-inversion fractures stage II: Primary and late results of operative and non-operative treatment. Acta Orthop Scand. 1980;51:695-702.
12. Yde J, Kristensen KD. Ankle fractures: Supination-inversion fractures stage IV: Primary and late results of operative and non-operative treatment. Acta Orthop Scand. 1980;51:981-990.
13. Yablon IG, Heller FG, Shouse L. The key role of the lateral malleolus in the displaced fracture of the ankle. JBJS. 1976;59A:169-173.
14. Harper MC. Deltoid ligament: An anatomic evaluation of function. Foot Ankle. 1987;8:19-22.
15. Harper MC. The short oblique fracture of the distal fibula without medial injury: An assessment of displacement. Foot Ankle Int. 1995;16:181-185.
16. Pankovich AM, Shivaram MS. Anatomic basis of the variability in injuries of the medial malleolus and the deltoid ligament I: Anatomical studies and II: Clinical studies. Acta Orthop Scand. 1979;50:217-236.
17. Tornetta P. Competence of the deltoid ligament in bimalleolar ankle fractures and medial malleolar fixation. JBJS. 2000;82A:843-848.
18. Lauge-Hansen N. Fractures of the ankle III: Genetic roentgenologic diagnosis of fractures of the ankle. Amer J Roentgenol Radium Ther Nucl Med. 1954;71:456-471.
19. Danis R. Les fractures malleolaires. In: Danis R, ed. Theorie et Pratique de l'Osteosynthese. 1949:133-165.
20. Weber BG. Die Verletzungen des Oberen Sprunggellenkes. Bern: Hans Huber; 1972.
21. Carr JB, Trafton P. Malleolar and soft tissue injuries of the ankle. In: Browner B, Jupiter J, et al. Skeletal Trauma. Philadelphia: Saunders; 1998:2357.
22. DeAngelis JP, DeAngelis NA, French B, et al. A radiographic review of the adult ankle: What constitutes normal? Presented at the American Academy of Orthopaedic Surgeons meeting, San Francisco, CA, 2003.
23. Michelson MD, Varner KE, Checcone M. Diagnosing deltoid ligament injury in ankle fractures: The gravity stress view. CORR. 2001;387:178-182.
24. Pankovich AM. Acute indirect ankle injuries in the adult. JOT. 2002;16:58-68.
25. Nielson JH, Sallis JG, Potter HG, et al. Correlation of interosseous membrane tears to the level of the fibular fracture. JOT. 2004;18:68-74.
26. McConnell T, Creevy W, Tornetta P. Stress examination of supination external rotation-type fibular fractures. J Bone Joint Surg Am. 2004;86A:2171-2178.
27. Marsh JL, Salzman CL. Ankle fractures. In: Bucholz R, Heckman JD, eds. Fractures in Adults. Philadelphia: Lippincott; 2001: 2003.
28. Xenos JS, Hopkinson WJ, Mulligan ME, et al. The tibiofibular syndesmosis. JBJS. 1995;77A:847-857.
29. Baumhauer JF, Geppert MJ, Michelson JD, et al. Ankle and foot: trauma. In: Koval K. Orthopaedic Knowledge Update 7. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2002: 548.
30. Amirtharajah M, Egol K, Tejwani NC, et al. Ankle stress test for predicting the need for surgical fixation of isolated fibular fractures. J Bone Joint Surg Am. 2004;86:2393-2398.