The ATFL avulsion fracture is detected as a. Some tendons are contained within two major grooves at the distal, or bottom, end of the fibula (the lateral malleolus). FIT LOWER LEG: Measure the distance between the fibula head and the lateral malleolus. If there is 2mm displacement then an ortho review will be required as typically this need operative management. In some cases, ATFL avulsion fracture from the lateral malleolus may occur instead of purely ligamentous injuries. LENGTH: Measure from the ankle to the widest point of the thigh. The lateral malleolus on the outer side of the ankle at the end of the fibula The posterior malleolus situated on the lower back side of the tibia Of these, the posterior malleolus is the structure least likely to be fractured on its own. The high occurrence of Salter-Harris III and IV fractures is because the lateral and deltoid ligaments insert here and they are stronger than the physis itself.Ī Tillaux fracture is a Salter-Harris III but with avulsion of the anterolateral corner of the distal tibial epiphysis. The most common distal tibial epiphysis injury is a Salter Harris II Salter-Harris I distal tibia fractures can be diagnosed if there is tenderness directly on the medial malleolus (rather than the ligaments) and many recommend treating as a fracture even if no radiographic fracture is noted.
LATERAL MALLEOLUS OF FIBULA SKIN
This study aimed to evaluate the clinical application of the peroneal artery perforator flap with or without split-thickness skin grafting for soft tissue reconstruction of the bony defect of the lateral malleolus of the ankle joints. All will have a fracture clinic follow up in a week or so. The reconstruction of defects of the lateral malleolus involving the exposed fibular bone or tendon is challenging.
An undisplaced distal tibia (Salter-Harris I or II) can be managed with a long leg cast and non-weight bearing.
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