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The anterior colliculus is the anterior portion of the medial malleolus of the distal tibia, [1] forming part of the ankle mortise. It has an attachment of the ...
Avulsion fracture of the anterior colliculus involving the superficial deltoid ligament: B Intermediate fracture C Fracture at the level of the plafond (Lauge-Hansen external rotation-abduction type) D Plafond fracture (Lauge-Hansen supination-adduction type)
Prognosis of treatment depends on site and type of CPT, and there is a risk of recurrent fracture. [6] [7] About 1 in 150,000 births present with CPT, but aside from its association with NF-1, not much else is shown from epidemiological studies. [1] [4] X-ray image of congenital pseudarthrosis of the tibia with anterior fracture
Before the introduction of the rules most patients with ankle injuries would have been imaged. However the vast majority of patients with unclear ankle injuries do not have bone fractures. [1] As a result, many unnecessary X-rays were taken, which was costly, time-consuming and a slight health risk due to radiation exposure.
The premise of the ATLS program is to treat the greatest threat to life first. It also advocates that the lack of a definitive diagnosis and a detailed history should not slow the application of indicated treatment for life-threatening injury, with the most time-critical interventions performed early. [2]
High tibial osteotomy is an orthopaedic surgical procedure which aims to correct a varus deformation with compartmental osteoarthritis.Since the inception of the procedure, advancements to technique, fixation devices, and a better understanding of patient selection has allowed HTO to become more popular in younger, more active patients hoping to combat arthritis. [1]
For low-grade fractures (Garden types 1 and 2), standard treatment is fixation of the fracture in situ with screws or a sliding screw/plate device. In elderly patients with displaced or intracapsular fractures many surgeons prefer to undertake a hemiarthroplasty , replacing the broken part of the bone with a metal implant.
The deltoid ligament (or medial ligament of talocrural joint) is a strong, flat, triangular band, attached, above, to the apex and anterior and posterior borders of the medial malleolus. The deltoid ligament supports the ankle joint and also resists excessive eversion of the foot. [1] The deltoid ligament is composed of 4 fibers: