BIMALLEOLAR ANKLE FRACTURE: A SIMPLE FRACTURE?

ABSTRACT Objective: To evaluate the frequency of deltoid ligament injury in bimalleolar supination-external rotation type fractures and whether there is a correlation between the size of the fractured medial malleolus and deltoid ligament injury . Methods: Twenty six consecutive patients underwe...

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Main Authors: JUNJI MILLER FUKUYAMA, ROBINSON ESTEVES SANTOS PIRES, PEDRO JOSÉ LABRONICI, JOSÉ OCTÁVIO SOARES HUNGRIA, RODRIGO LOPES DECUSATI
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2017-02-01
Series:Acta Ortopédica Brasileira
Subjects:
Online Access:http://www.scielo.br/pdf/aob/v25n1/1413-7852-aob-25-01-00048.pdf
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author JUNJI MILLER FUKUYAMA
ROBINSON ESTEVES SANTOS PIRES
PEDRO JOSÉ LABRONICI
JOSÉ OCTÁVIO SOARES HUNGRIA
RODRIGO LOPES DECUSATI
author_facet JUNJI MILLER FUKUYAMA
ROBINSON ESTEVES SANTOS PIRES
PEDRO JOSÉ LABRONICI
JOSÉ OCTÁVIO SOARES HUNGRIA
RODRIGO LOPES DECUSATI
author_sort JUNJI MILLER FUKUYAMA
collection DOAJ
description ABSTRACT Objective: To evaluate the frequency of deltoid ligament injury in bimalleolar supination-external rotation type fractures and whether there is a correlation between the size of the fractured medial malleolus and deltoid ligament injury . Methods: Twenty six consecutive patients underwent magnetic resonance exams after clinical and radiographic diagnosis of bimalleolar supination-external rotation type ankle fractures . Results: Thirteen patients (50%) presented deltoid ligament injury associated to bimalleolar ankle fracture. Partial injury was present in seven (26.9%) patients and total injury in six (23.1%). Regarding medial fragment size, the average was 2.88 cm in the absence of deltoid ligament injury. Partial injuries presented 1.93 cm and total 2.1 cm on average . Conclusion: Deltoid ligament injury was present in 50% of bimalleolar ankle fractures. Smaller medial malleolus fragments, especially concerning the anterior colliculus, presented greater association with partial deltoid ligament injuries. Level of Evidence IV, Cross Sectional Study.
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spelling doaj.art-1f270f2410bf4dafb506f9f09ccb322f2022-12-21T21:23:55ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522017-02-01251485110.1590/1413-785220172501166234BIMALLEOLAR ANKLE FRACTURE: A SIMPLE FRACTURE?JUNJI MILLER FUKUYAMAROBINSON ESTEVES SANTOS PIRESPEDRO JOSÉ LABRONICIJOSÉ OCTÁVIO SOARES HUNGRIARODRIGO LOPES DECUSATIABSTRACT Objective: To evaluate the frequency of deltoid ligament injury in bimalleolar supination-external rotation type fractures and whether there is a correlation between the size of the fractured medial malleolus and deltoid ligament injury . Methods: Twenty six consecutive patients underwent magnetic resonance exams after clinical and radiographic diagnosis of bimalleolar supination-external rotation type ankle fractures . Results: Thirteen patients (50%) presented deltoid ligament injury associated to bimalleolar ankle fracture. Partial injury was present in seven (26.9%) patients and total injury in six (23.1%). Regarding medial fragment size, the average was 2.88 cm in the absence of deltoid ligament injury. Partial injuries presented 1.93 cm and total 2.1 cm on average . Conclusion: Deltoid ligament injury was present in 50% of bimalleolar ankle fractures. Smaller medial malleolus fragments, especially concerning the anterior colliculus, presented greater association with partial deltoid ligament injuries. Level of Evidence IV, Cross Sectional Study.http://www.scielo.br/pdf/aob/v25n1/1413-7852-aob-25-01-00048.pdfAnkleAnkle fracturesLigamentsMagnetic resonance imaging
spellingShingle JUNJI MILLER FUKUYAMA
ROBINSON ESTEVES SANTOS PIRES
PEDRO JOSÉ LABRONICI
JOSÉ OCTÁVIO SOARES HUNGRIA
RODRIGO LOPES DECUSATI
BIMALLEOLAR ANKLE FRACTURE: A SIMPLE FRACTURE?
Acta Ortopédica Brasileira
Ankle
Ankle fractures
Ligaments
Magnetic resonance imaging
title BIMALLEOLAR ANKLE FRACTURE: A SIMPLE FRACTURE?
title_full BIMALLEOLAR ANKLE FRACTURE: A SIMPLE FRACTURE?
title_fullStr BIMALLEOLAR ANKLE FRACTURE: A SIMPLE FRACTURE?
title_full_unstemmed BIMALLEOLAR ANKLE FRACTURE: A SIMPLE FRACTURE?
title_short BIMALLEOLAR ANKLE FRACTURE: A SIMPLE FRACTURE?
title_sort bimalleolar ankle fracture a simple fracture
topic Ankle
Ankle fractures
Ligaments
Magnetic resonance imaging
url http://www.scielo.br/pdf/aob/v25n1/1413-7852-aob-25-01-00048.pdf
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