What is a ser 4 ankle fracture?

The sequence of injury in a SER fracture is anterior tibiofibular ligament disruption (SER-I), oblique fibula fracture (SER-II), rupture of posterior tibiofibular ligament or posterior malleolus fracture (SER-III) followed by deltoid ligament rupture or medial malleolus fracture (SER-IV).

Which ankle fracture is most likely to be associated with an ankle syndesmosis ligament injury?

While the most common fracture location in syndesmotic injury is the distal third of the fibula (Fig. 3), the fracture level is related to the extent of ligamentous disruption of the syndesmosis.

What is a syndesmosis ankle injury?

A syndesmotic ankle sprain is an injury to one or more of the ligaments comprising the distal tibiofibular syndesmosis; it is often referred to as a “high ankle sprain.” Compared with the more common lateral ankle sprain, the high ankle sprain causes pain more proximally, just above the ankle joint, and is associated …

Can you walk with syndesmosis injury?

Minimal swelling pattern. Patient can walk pain free. Pain with palpation and testing. Mild sprain= Boot till pain free 1-2 weeks and wean to brace for 2 weeks.

Where is the syndesmosis?

The syndesmosis is a fibrous joint held together by ligaments. It’s located near the ankle joint, between the tibia, or shinbone, and the distal fibula, or outside leg bone. That’s why it’s also called the distal tibiofibular syndesmosis. It’s actually made up of several ligaments.

What is external rotation of ankle?

The external rotation test can demonstrate the integrity of the syndesmotic ligaments. The patient sits with the knee flexed to 90°. The foot is gently grasped and rotated laterally with the ankle locked in neutral. A positive test result occurs when the patient has pain over the syndesmosis.

What does a syndesmosis injury feel like?

What does a syndesmosis injury feel like? A syndesmosis injury will present as pain through the lower leg, just above the ankles. It is a pain that does not settle with rest and can feel like a cramping sensation or dull ache. It tends to also get worse with exercise or sport.

How does a syndesmosis injury happen?

Causes. Ankle syndesmosis injuries often occur when the foot is planted on the ground and the leg is twisted inwards (internally rotated), or if the foot itself is forcefully twisted outwards (externally rotated).

How do you know if you have syndesmosis?

What are the symptoms of a syndesmosis injury?

1. tenderness to the touch.
2. pain above the ankle, possibly radiating up the leg.
3. pain that increases when you walk.
4. pain when you rotate or flex your foot.
5. trouble raising your calf.
6. inability to put your full weight on your ankle.

How do you treat syndesmosis injury?

Acute instability of the syndesmosis must be treated surgically by placing a syndesmotic screw or a suture button. Sometimes AITFL repair is all that is needed.

What makes up the ankle syndesmosis?

The distal tibiofibular syndesmosis, between the fibula and tibia, is formed by three major ligaments: the anterior inferior tibiofibular ligament (AITFL), the posterior inferior tibiofibular ligament (PITFL), and the interosseous tibiofibular ligament (ITFL).

What are the symptoms of an ankle fracture?

Significant pain on or close to the ankle joint,and tenderness of the surrounding area

Heavy discolouration and bruising of the ankle or the surrounding tissue,as well as swelling from mild to extreme

Extreme discomfort when moving the foot,or when trying to put weight on it

What is the most common ankle fracture?

Physical therapy is usually needed to restore as much function as possible after the fracture has healed. A tibia/fibula (tib/fib) fracture is a common fracture of the ankle bones. The tibia (shin bone) and fibula (bone on the outside part of your ankle) are located in the lower leg and help form part of your ankle joint.

What is treatment for ankle fracture?

In medical settings, doctors can treat an ankle fracture in a variety of ways. The type of fracture and its severity tend to be diagnosed with x-rays or other scans. After diagnosis, doctors determine treatment. When doctors treat an ankle fracture, this could include resetting a bone, surgically or non-surgically.

What are the names of ankle fractures?

Trimalleolar Fracture (both tibia and fibula): A trimalleolar ankle fracture is essentially the same as a bimalleolar ankle fracture, but the bone in the back of the tibia is also fractured. The bone in the back of the tibia is called the posterior malleolus.