anklehindfoot xray 190617114332
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t. Trẻ đang lớn chú ý
gãy Salter-Harris
• Tránh bỏ sót: gãy xương sên, Maisonneuve, LODA
• Bẫy: xương vừng, Apophysis
QUIZ
next indication?
Lover's fracture, also known as Don Juan fracture
• result of an axial loading injury which drives the talus into the tibial plafond
• fractures lines are seen extending into the tibiotalar articular surface
• oblique fracture components may extend proximally into the tibial shaft
• depending on the severity, fractures may also involve the fibula
• best visualised on oblique view of the foot
Type
Hawkins I
Hawkins II
Hawkins III
Hawkins IV
Hawkins Classification
Description
AVN
Nondisplaced
0-13% AVN
Subtalar dislocation
20-50%
Subtalar and tibiotalar dislo
20-100%
cation
Subtalar, tibiotalar,
and talonavicular dislocatio
70-100%
n
2 patients 1 problem
Frontal and oblique
Trimalleolar ankle fracture ( Cotton)
Unstable fracture of the ankle involving the medial malleolus, the
posterior aspect of the tibial plafond (referred to as the posterior
malleolus) and the lateral malleolus.
No trauma
28M. No trauma. Ankle pain.
• Extensive degenerative changes including joint space narrowing and osteophytosis
• 12 years old. Jump 2 metre.
Answer: type II
• injury. Pain in the right ankle
•
Jones fracture
