Podcast
Questions and Answers
What does Type A fracture refer to?
What does Type B fracture include?
What defines a Type C fracture?
Fracture above syndesmosis, which is disrupted and widened. Associated with medial malleolus fracture on deltoid ligament.
What fractures require surgery?
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What fracture can be treated conservatively?
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How long does it take to heal for Tibia and Fibula? (1) Tibia takes ___ weeks and (2) Fibula takes ___ weeks.
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What ligaments make up the deltoid ligament?
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What makes up the lateral ligaments of the ankle?
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Study Notes
Weber's Classification of Ankle Fractures
- Type A: Characterized by a transverse fibula fracture occurring below the syndesmosis, potentially accompanied by a fracture of the medial malleolus.
- Type B: Defined by an oblique fibula fracture aligned with the level of the syndesmosis, also possibly associated with a medial malleolus fracture.
Variants of Type B Fractures
- Type B1: Represents an isolated Type B fracture.
- Type B2: This variant includes a Type B fracture accompanied by a lesion affecting the medial side, such as a malleolus or ligament injury.
- Type B3: Involves a Type B fracture along with a medial lesion and a fracture at the posterolateral aspect of the tibia.
Type C Fractures
- Type C: Refers to fractures positioned above the syndesmosis, which become disrupted and widened, often linked with a medial malleolus fracture affecting the deltoid ligament.
- Type C1: Involves a diaphyseal fracture of the fibula, presenting as a simple fracture.
- Type C2: Similar to Type C1 but characterized by a complex diaphyseal fracture of the fibula.
- Type C3: Associated with a fracture of the proximal tibia.
Surgical vs. Conservative Treatment
- Surgery is indicated for bimalleolar fractures, undisplaced Type C fractures, and any displaced Type A, B, or C fractures.
- Undisplaced Type A and B fractures can typically be managed with conservative treatment.
Healing Timeline
- Tibia fractures generally take about 10-12 weeks to heal.
- Fibula fractures have a shorter healing period of around 6 weeks.
Ankle Ligament Anatomy
- The deltoid ligament comprises four key structures: the anterior and posterior tibiotalar ligaments, the tibionavicular ligament, and the tibiocalcaneal ligament.
- Lateral ankle ligaments include the anterior and posterior talofibular ligaments, the calcaneofibular ligament, and the lateral talocalcanean ligament.
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Description
Explore the different types of ankle fractures as classified by Weber's system. This flashcard quiz covers Type A, Type B, and their subcategories, helping you understand the distinctions and associated injuries. Ideal for medical students and professionals preparing for exams.
