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Ottawa ankle rules: Patients with ligamentous injury need better treatment in Britain

BMJ Publishing Group Ltd.
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  • Letters
  • Education
  • Medicine


.org Page ( 1 ) AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. This information is provided as an educational service and is not intended to serve as medical advice. Anyone seeking specifi c orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS “Find an Orthopaedist” program on Copyright ©1995-2013 by the American Academy of Orthopaedic Surgeons. Ankle Fractures (Broken Ankle) A broken ankle is also known as an ankle “fracture.” This means that one or more of the bones that make up the ankle joint are broken. A fractured ankle can range from a simple break in one bone, which may not stop you from walking, to several fractures, which forces your ankle out of place and may require that you not put weight on it for a few months. Simply put, the more bones that are broken, the more unstable the ankle becomes. There may be ligaments damaged as well. The ligaments of the ankle hold the ankle bones and joint in position. Broken ankles aff ect people of all ages. During the past 30 to 40 years, doctors have noted an increase in the number and severity of broken ankles, due in part to an active, older population of “baby boomers.” Anatomy Three bones make up the ankle joint: • Tibia - shinbone • Fibula - smaller bone of the lower leg • Talus - a small bone that sits between the heel bone (calcaneus) and the tibia and fi bula The tibia and fi bula have specifi c parts that make up the ankle: • Medial malleolus - inside part of the tibia • Posterior malleolus - back part of the tibia • Lateral malleolus - end of the fi bula Doctors classify ankle fractures according to the area of bone that is broken. For example, a fracture at the end of the fi bula is called a lateral malleolus fracture, or if both the tibia and fi bula are broken, it is called a bimalleolar fracture. Two joints are involved in ankle fractures: • Ankle joi

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