[The isolated posterior malleolus fracture]
Thomas Colding-Rasmussen1, Benjamin Presman1, Ilija Ban1
1Ortopædkirurgisk Afdeling, Københavns Universitetshospital - Hvidovre Hospital.
Ugeskrift for Laeger
|June 3, 2022
Summary
Isolated posterior malleolar fractures, though rare, require careful diagnosis. Early detection is crucial to prevent long-term complications like persistent pain and arthrosis.
Area of Science:
- Orthopedic Surgery
- Radiology
- Traumatology
Background:
- Posterior malleolar fractures are uncommon ankle injuries.
- Accurate diagnosis can be challenging due to subtle radiographic findings.
Observation:
- A case report details a 26-year-old female with an isolated posterior malleolar fracture.
- Diagnosis involved X-ray and CT confirmation.
- Treatment included orthosis and early weightbearing.
Findings:
- Weightbearing X-rays post-treatment showed no displacement or associated injuries.
- The fracture, though isolated, was managed successfully with conservative measures.
Implications:
- Isolated posterior malleolar fractures may signify more complex ankle trauma.
- Vigilance in diagnosis is essential to avoid missed injuries.
- Timely diagnosis and management can prevent chronic pain and post-traumatic arthrosis.
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