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Original Articles • Acta ortop. bras. 25 (1) • Jan-Feb 2017 • https://doi.org/10.1590/1413-785220172501166234 linkcopy

Open-access BIMALLEOLAR ANKLE FRACTURE: A SIMPLE FRACTURE?

FRATURA BIMALEOLAR DO TORNOZELO: UMA SIMPLES FRATURA?

AuthorshipSCIMAGO INSTITUTIONS RANKINGS

    ABSTRACT

    Objective:  To evaluate the frequency of deltoid ligament injury in bimalleolar supination-external rotation type fractures and whether there is a correlation between the size of the fractured medial malleolus and deltoid ligament injury.

    Methods:  Twenty six consecutive patients underwent magnetic resonance exams after clinical and radiographic diagnosis of bimalleolar supination-external rotation type ankle fractures.

    Results:  Thirteen patients (50%) presented deltoid ligament injury associated to bimalleolar ankle fracture. Partial injury was present in seven (26.9%) patients and total injury in six (23.1%). Regarding medial fragment size, the average was 2.88 cm in the absence of deltoid ligament injury. Partial injuries presented 1.93 cm and total 2.1 cm on average.

    Conclusion:  Deltoid ligament injury was present in 50% of bimalleolar ankle fractures. Smaller medial malleolus fragments, especially concerning the anterior colliculus, presented greater association with partial deltoid ligament injuries. Level of Evidence IV, Cross Sectional Study.

    Keywords: Ankle; Ankle fractures; Ligaments; Magnetic resonance imaging

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