Ankle joint
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In anatomy, the ankle joint is the "joint that is formed by the inferior articular and malleolar articular surfaces of the tibia; the malleolar articular surface of the fibula; and the medial malleolar, lateral malleolar, and superior surfaces of the talus"[1]
Injuries
The Ottawa ankle rules, a clinical prediction rule, can indicate a possible fracture and the need for x-rays (see image):[2][3]
Ankle x-rays may be needed
- "Required only if there is pain in the malleolar zone and one or more of the following:
- "Bone tenderness at posterior edge (distal 6 cm) or tip of lateral malleolus"
- "Bone tenderness at posterior edge (distal 6 cm) or tip of medial malleolus"
- "Inability to bear weight both immediately after the injury and in the emergency department"
Foot x-rays may be needed
- "Required only if there is pain in the midfoot zone and one or more of the following:
- "Bone tenderness at base of fifth metatarsal"
- "Bone tenderness at navicular bone"
- "Inability to bear weight both immediately after the injury and in the emergency department"
References
- ↑ Anonymous (2024), Ankle joint (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Glas AS, Pijnenburg BA, Lijmer JG, et al (March 2002). "Comparison of diagnostic decision rules and structured data collection in assessment of acute ankle injury". CMAJ 166 (6): 727–33. PMID 11944759. PMC 99451. [e]
- ↑ Bachmann LM, Kolb E, Koller MT, Steurer J, ter Riet G (February 2003). "Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review". BMJ 326 (7386): 417. DOI:10.1136/bmj.326.7386.417. PMID 12595378. PMC 149439. Research Blogging.