Orthopedics > OCOSH Classification > Trauma > Fractures > Ankle Fractures > Osteochondral fractures > 2000 Arthroscopic findings in acute fractures of the ankle

2000 Arthroscopic findings in acute fractures of the ankle

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Location: http://www.jbjs.org.uk/cgi/reprint/82-B/3/345

Description: We have evaluated prospectively the arthroscopic findings in acute fractures of the ankle in 288 consecutive patients.
Lesions of the cartilage were found in 228 ankles (79.2%), more often on the talus (69.4%) than on the distal tibia (45.8%), the fibula (45.1%), or the medial malleolus (41.3%). There were more lesions in men than in women and in general they were more severe in men (p <0.05). They also tended to be worse in patients under 30 years and in those over 60 years of age. The frequency and severity of the lesions increased from type-B to type-C fractures (p <0.05). Within each type of fracture the lesions increased from subgroups 1 to 3 (p <0.05). The anterior tibiofibular ligament was injured with increased frequency from type-B.1 to type-C3 fractures (p <0.05), but it was not torn in all cases. While lateral ligamentous injuries were seen more often in type-B than in type-C fractures (p <0.05), no difference was noted in the frequency of deltoid ligamentous lesions. Our findings show that arthroscopy is useful in identifying associated intra-articular lesions in acute fractures of the ankle.
Arthroscopic findings in acute fractures of the ankle. Hintermann B, Regazzoni P, Lampert C, Stutz G, Gächter A. J Bone Joint Surg Br. 2000 Apr;82(3):345-51.

Type: Reference Material
Author/Contact: Hintermann et al
Institution: JBJS B
Primary Subject/Category:

Language: English

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Added: Sat Nov 14 2009
Last Modified: Mon May 30 2011