Ankle fracture - Revision history

Danbot: Move calculators to own section with header (visible in TOC), expanded, before External Links

2026-03-21T15:07:40Z

Move calculators to own section with header (visible in TOC), expanded, before External Links

← Older revision		Revision as of 15:07, 21 March 2026
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	*[[Fracture (Main)]]		*[[Fracture (Main)]]
	*[[Splinting]]		*[[Splinting]]

			== Calculators ==
			{{Ottawa_Ankle_Calculator}}

	==External Links==		==External Links==
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	==References==		==References==
	<references/>		<references/>

	~~<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">~~
	~~<div style="font-weight:bold;">📊 Ottawa Ankle Rules Calculator [show]</div>~~
	~~<div class="mw-collapsible-content">~~
	~~{{Ottawa_Ankle_Calculator}}~~
	~~</div>~~
	~~</div>~~
	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Danbot: Add Ottawa Ankle Rules calculator (collapsible)

2026-03-21T13:45:19Z

Add Ottawa Ankle Rules calculator (collapsible)

← Older revision		Revision as of 13:45, 21 March 2026
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	==References==		==References==
	<references/>		<references/>

			<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">
			<div style="font-weight:bold;">📊 Ottawa Ankle Rules Calculator [show]</div>
			<div class="mw-collapsible-content">
			{{Ottawa_Ankle_Calculator}}
			</div>
			</div>
	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Ostermayer at 16:26, 15 January 2026

2026-01-15T16:26:12Z

← Older revision		Revision as of 16:26, 15 January 2026
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	{{~~Adult top}} [[~~ankle fracture (peds)]]		{{AdultPage\|ankle fracture (peds)}}
	==Background==		==Background==
	[[File:Weber Classification - latin.png\|thumb\|Danis–Weber classification of ankle fractures (Types A, B and C).]]		[[File:Weber Classification - latin.png\|thumb\|Danis–Weber classification of ankle fractures (Types A, B and C).]]

Rossdonaldson1: /* Background */

2025-03-05T22:50:19Z

Background

← Older revision		Revision as of 22:50, 5 March 2025
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	{{Adult top}} [[ankle fracture (peds)]]		{{Adult top}} [[ankle fracture (peds)]]
	==Background==		==Background==
			[[File:Weber Classification - latin.png\|thumb\|Danis–Weber classification of ankle fractures (Types A, B and C).]]

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Evaluation */

2025-03-05T22:48:07Z

Evaluation

← Older revision		Revision as of 22:48, 5 March 2025
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	==Evaluation==		==Evaluation==
			[[File:Danis–Weber classification on X-ray.jpg\|thumb\|Danis–Weber classification on X-ray.]]
	[[File:WeberARadiopediaOB.jpg\|thumb\|Weber A Oblique]]		[[File:WeberARadiopediaOB.jpg\|thumb\|Weber A Oblique]]
	[[File:WeberBRadiopedOB.jpg\|thumb\|Weber B Oblique]]		[[File:WeberBRadiopedOB.jpg\|thumb\|Weber B Oblique]]

Rossdonaldson1: /* References */

2021-01-12T19:56:04Z

References

← Older revision		Revision as of 19:56, 12 January 2021
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	*[[Fracture (Main)]]		*[[Fracture (Main)]]
	*[[Splinting]]		*[[Splinting]]

			==External Links==
			*http://radiopaedia.org/articles/weber_ankle_fracture_classification (Images by Dr. Frank Gaillard; CC SA NC BY licence)
			*Ottawa Ankle Rules - http://www.ncbi.nlm.nih.gov/pubmed?term=12595378

	==References==		==References==
	<references/>		<references/>
	~~, Uptodate, Medpix Radiology Teaching Files (Images by Dr. Timothy Sanders)~~
	*http://radiopaedia.org/articles/weber_ankle_fracture_classification (Images by Dr. Frank Gaillard; CC SA NC BY licence)
	*Ottawa Ankle Rules - http://www.ncbi.nlm.nih.gov/pubmed?term=12595378
	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Rossdonaldson1: /* Evaluation */

2021-01-12T19:55:09Z

Evaluation

← Older revision		Revision as of 19:55, 12 January 2021
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	***At a point 1 cm proximal to tibial plafond space between tib/fib should be ≤6mm		***At a point 1 cm proximal to tibial plafond space between tib/fib should be ≤6mm
	**Lateral: Best for posterior malleolar fractures		**Lateral: Best for posterior malleolar fractures
	*~~consider~~ proximal tib/fib films and talus fractures		*Consider proximal tib/fib films and talus fractures

	===Classification (Danis-Weber System)===		===Classification (Danis-Weber System)===
	[[File:WeberclassRadioped.jpg\|thumb\|]]		[[File:WeberclassRadioped.jpg\|thumb\|]]
	*~~system~~ based on level of the fibular fracture and characterizes stability of fracture		*System based on level of the fibular fracture and characterizes stability of fracture
	*~~tibial~~ plafond and the two malleoli is referred to as the ankle "mortise" (or talar mortise)		*Tibial plafond and the two malleoli is referred to as the ankle "mortise" (or talar mortise)

	====Type A====		====Type A====
	*~~fibula~~ fracture below ankle joint/distal to plafond		*Fibula fracture below ankle joint/distal to plafond
	**~~medial~~ malleolus often fractured		**Medial malleolus often fractured
	**~~tibiofibular~~ syndesmosis intact		**Tibiofibular syndesmosis intact
	**~~usually~~ stable: occasionally requires ORIF		**Usually stable: occasionally requires ORIF

	====Type B====		====Type B====
	*~~fibula~~ fracture at the level of the ankle joint/at the plafond		*Fibula fracture at the level of the ankle joint/at the plafond
	**~~can~~ extend superiorly and laterally up fibula		**Can extend superiorly and laterally up fibula
	**~~tibiofibular~~ syndesmosis intact or only partially torn		**Tibiofibular syndesmosis intact or only partially torn
	**no widening of the distal tibiofibular articulation		**No widening of the distal tibiofibular articulation
	**~~medial~~ malleolus may be fracture		**Medial malleolus may be fracture
	**~~possible~~ instability		**Possible instability
	***Use gravity or weight bearing stress X-rays to determine stability <ref>Tips for Managing Weber B Ankle Fractures By Joseph Noack, MD; and Spencer Tomberg, MD. ACEP Now April 14, 2020 https://www.acepnow.com/article/tips-for-managing-weber-b-ankle-fractures/?singlepage=1</ref>		***Use gravity or weight bearing stress X-rays to determine stability <ref>Tips for Managing Weber B Ankle Fractures By Joseph Noack, MD; and Spencer Tomberg, MD. ACEP Now April 14, 2020 https://www.acepnow.com/article/tips-for-managing-weber-b-ankle-fractures/?singlepage=1</ref>

	====Type C====		====Type C====
	*~~fibula~~ fracture above the level of the ankle joint/proximal to plafond		*Fibula fracture above the level of the ankle joint/proximal to plafond
	**~~tibiofibular~~ syndesmosis disrupted with widening of the distal tibiofibular articulation		**Tibiofibular syndesmosis disrupted with widening of the distal tibiofibular articulation
	**~~medial~~ malleolus fracture		**Medial malleolus fracture
	**~~unstable~~: requires ORIF		**Unstable: requires ORIF

	==Management & Disposition==		==Management & Disposition==

Hoxbox: /* Type B */

2020-12-16T17:56:41Z

Type B

← Older revision		Revision as of 17:56, 16 December 2020
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	**medial malleolus may be fracture		**medial malleolus may be fracture
	**possible instability		**possible instability
			***Use gravity or weight bearing stress X-rays to determine stability <ref>Tips for Managing Weber B Ankle Fractures By Joseph Noack, MD; and Spencer Tomberg, MD. ACEP Now April 14, 2020 https://www.acepnow.com/article/tips-for-managing-weber-b-ankle-fractures/?singlepage=1</ref>

	====Type C====		====Type C====

Rossdonaldson1 at 22:45, 28 November 2019

2019-11-28T22:45:10Z

← Older revision		Revision as of 22:45, 28 November 2019
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	~~''For pediatric patients, see~~ [[~~Ankle~~ fracture (peds)]]		{{Adult top}} [[ankle fracture (peds)]]
	==Background==		==Background==

Rossdonaldson1: /* Management & Disposition */

2019-09-18T02:50:39Z

Management & Disposition

← Older revision		Revision as of 02:50, 18 September 2019
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	==Management & Disposition==		==Management & Disposition==
			{{General Fracture Management}}

			===General Ankle Fracture===
	*Determined by stability of fracture:		*Determined by stability of fracture:
	**Stable, nondisplaced, isolated malleolar fracture: Splint or cast, early wt bearing, RICE		**Stable, nondisplaced, isolated malleolar fracture: Splint or cast, early wt bearing, RICE