Tib fib fracture physical therapy11/24/2023 (See area 2 on the x-ray image) There may also be a fracture present at the inner knob of the ankle (the medial malleolus of the tibia), (see area 3 on the x-ray image), and/or the back of the tibia (the innermost / big leg bone) at the ankle joint (also called the posterior malleolus). (See area 1 on the x-ray image) Besides the fibular fracture and syndesmosis tear, one might also see that the talus (the bone in the ankle socket that moves up and down) is shifted towards the outside of the ankle. The fibular fracture may be found 1-2cm (0.5-1 inch) above the ankle joint level, or anywhere higher, including all of the way up to just below the knee. Typically, when the fibular (bone on the outside of the ankle) fracture occurs above the ankle joint level, there is an associated syndesmosis injury. Since ligaments (and the syndesmosis) cannot be directly visualized on radiographs (plain x-ray films), it is fortunate that we can reliably predict when there has been a syndesmosis injury in conjunction with the fracture(s). Thus, in an ankle fracture with an unstable syndesmosis, surgery is typically recommended. Because of a disrupted, unstable syndesmosis, the tibia and fibula are not held together properly, which makes for a very unstable ankle joint that is prone to chronic disability and arthritis – if not repaired. In some fractures, the ligament structures (called the syndesmosis) that hold together the two leg bones (the tibia and the fibula) that form the ankle socket are torn. Perhaps the most important “classification” of ankle fracture to both the doctor and the patient is whether the fracture will need surgical correction or not. Ankle fractures can be classified by the mechanism that caused that fracture, or the number of locations that have fractured, or by the location of the fracture of the fibula (the bone on the outside of the ankle) relative to the ankle joint line. There are many varieties of ankle fracture that can occur. Tips and Instructions from the Cast Room.Ankle Fracture with Unstable Syndesmosis.Patients with Sensation or Circulation Loss in the Feet.Midfoot Impingement Syndrome and Degenerative Joint Disease of the Midfoot.Excess Body Weight and Foot and Ankle Problems.
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