Ankle injury after a fall from a horse
| Autor: | Ramasubramanian Dharmarajan, S. Aranganathan |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Radiography Joint Dislocations Poison control Talus Fractures Bone Young Adult Ankle injury Restricted range Traction medicine Humans Severe pain General Environmental Science business.industry General Engineering Horse General Medicine Anatomy Surgery medicine.anatomical_structure Fibula Recreation General Earth and Planetary Sciences Accidental Falls Female Ankle business Foot (unit) |
| Zdroj: | BMJ. 343:d2094-d2094 |
| ISSN: | 1468-5833 0959-8138 |
| DOI: | 10.1136/bmj.d2094 |
| Popis: | A fit and well 25 year old woman with a body mass index of 30 fell off a horse (a height of about 1.2 m) and landed on both feet. She immediately felt severe pain in both ankles and was unable to weight bear. On arrival at the accident and emergency department the only abnormality identified was a clinically deformed right ankle with gross swelling, global tenderness, and restricted range of movement because of severe pain. Anteroposterior (fig 1⇓) and lateral (fig 2⇓) ankle radiographs were taken. ### 1 What abnormalities can be seen on the radiographs? #### Short answer The radiographs of the right ankle show a total talar dislocation with a lateral malleolar fracture (figs 3⇓ and 4⇓). Fig 3 Anteroposterior ankle radiograph showing a total talar dislocation (arrow) Fig 4 Lateral ankle radiograph showing a lateral malleolar fracture (arrow on left) and the dislocated talus (arrow on right) #### Long answer Total talar dislocation is caused by high energy trauma that results in inversion of the foot. It occurs in three stages of inversion.1 2 It is a rare injury with no published evidence of incidence.3 ### 2 What is the immediate management? #### Short answer The neurovascular status of the foot needs to be … |
| Databáze: | OpenAIRE |
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