Medial Malleolus Fracture Orthobullets. Identify and protect long saphenous nerve if possible next to vein. In the mortise view with the ankle in neutral position the medial clear space should be equal to or less than the superior clear space between the talar dome and the tibial plafond 5 an increase in the medial clear space indicates a deltoid ligament injury.
Make small incision in anterior joint capsule to visualize joint and dome of talus. Lateral malleolus wagstaffe. Stable fracture patterns without articular.
It bears 90 of the weight bearing load so this is a common fracture.
Stable fracture patterns without articular. Anterior malleolus chaput. Spiral fracture of the proximal third of the fibula with an associated fracture of the medial malleolus or rupture of the deep deltoid ligament per4 fracture palpation along the entire length of the fibular is important in order to pick up signs of this injury as it can be seen in patients with relatively unremarkable ankle x rays. Most useful after ligamentotaxis is provided by a spanning external fixator.