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An ankle fracture is a break of one or more of the bones that make up the ankle joint. [1] Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. [1]
The talus (/ ˈ t eɪ l ə s /; Latin for ankle [1] or ankle bone; [2] pl.: tali), talus bone, astragalus (/ ə ˈ s t r æ ɡ ə l ə s /), or ankle bone is one of the group of foot bones known as the tarsus. The tarsus forms the lower part of the ankle joint. It transmits the entire weight of the body from the lower legs to the foot. [3]
Fracture of both sides of the ankle with dislocation as seen on anteroposterior X-ray. (1) fibula, (2) tibia, (arrow) medial malleolus, (arrowhead) lateral malleolus. An ankle fracture is a break of one or more of the bones that make up the ankle joint. [20] Symptoms may include pain, swelling, bruising, and an inability to walk on the injured ...
Fracture of the medial malleolus seen on X-ray scan (left ankle) Common symptoms of a Maisonneuve fracture are pain, swelling, tenderness, and bruising around the ankle joint and inferior (or distal) tibiofibular joint. More specifically, as a pronation-external rotation injury, pain during external rotation of the ankle joint is expected.
The ankle joint consists of the talus resting within the mortise created by the tibia and fibula as previously described. Since the talus is wider anteriorly (in the front) than posteriorly (at the back), as the front of the foot is raised (dorsiflexed) reducing the angle between the foot and lower leg to less than 90°, then the mortise is confronted with an increasingly wider talus.
Figure 6: Subtle anterior talar fracture in a 39-year-old man presenting with ankle pain after a fall. (a) Anteroposterior radiograph shows a subtle oblique radiolucent line through the talus (white arrows). (b) Sagittal CT reformation confirms the presence of an anterior talar fracture with cortical offset (black arrow).