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Published on: January 24, 2018
Ankle fracture following hip arthroscopy
Eric D Schiffman1, Joseph C McCarthy, John Y Kwon
1Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA 02114, USA. ees24@partners.org
Orthopedics
|August 8, 2012
Summary
Ankle fractures can occur after hip arthroscopy due to traction and positioning. Early recognition and appropriate management, including radiographs for persistent pain, are crucial for successful outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Lower Extremity Biomechanics
Background:
- Hip arthroscopy is a common procedure for labral tears.
- Patient positioning and traction are critical intraoperative factors.
- Postoperative recovery protocols involve weight-bearing as tolerated.
Observation:
- A 58-year-old woman developed an ankle fracture post-hip arthroscopy.
- The fracture was a minimally displaced medial malleolus fracture.
- Symptoms of ankle pain were reported at the 2-week follow-up.
Findings:
- Risk factors include history of ankle sprains, ligamentous laxity, and foot/calf morphology.
- Ankle rotation during traction increases stress on ligamentous structures.
- Radiographs are recommended for persistent ankle pain beyond 72 hours postoperatively.
Implications:
- Preoperative patient counseling regarding potential ankle pain is important.
- Awareness of ankle pathology post-hip arthroscopy is necessary for clinicians.
- A low threshold for ordering radiographs aids in timely diagnosis and treatment of ankle fractures.
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