| Title |
The diagnosis and treatment of deltoid ligament lesions in supination–external rotation ankle fractures: a review
|
|---|---|
| Published in |
Strategies in Trauma and Limb Reconstruction, July 2012
|
| DOI | 10.1007/s11751-012-0140-9 |
| Pubmed ID | |
| Authors |
Sjoerd A. S. Stufkens, Michel P. J. van den Bekerom, Markus Knupp, Beat Hintermann, C. Niek van Dijk |
| Abstract |
The supination-external rotation or Weber B type fracture exists as a stable and an unstable type. The unstable type has a medial malleolus fracture or deltoid ligament lesion in addition to a fibular fracture. The consensus is the unstable type and best treated by open reduction and internal fixation. The diagnostic process for a medial ligament lesion has been well investigated but there is no consensus as to the best method of assessment. The number of deltoid ruptures as a result of an external rotation mechanism is higher than previously believed. The derivation of the injury mechanism could provide information of the likely ligamentous lesion in several fracture patterns. The use of the Lauge-Hansen classification system in the assessment of the initial X-ray images can be helpful in predicting the involvement of the deltoid ligament but the reliability in terms of sensitivity and specificity is unknown. Clinical examination, stress radiography, magnetic resonance imaging, arthroscopy, and ultrasonography have been used to investigate medial collateral integrity in cases of ankle fractures. None of these has shown to possess the combination of being cost-effective, reliable and easy to use; currently gravity stress radiography is favoured and, in cases of doubt, arthroscopy could be of value. There is a disagreement as to the benefit of repair by suture of the deltoid ligament in cases of an acute rupture in combination with a lateral malleolar fracture. There is no evidence found for suturing but exploration is thought to be beneficial in case of interposition of medial structures. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 144 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Switzerland | 2 | 1% |
| United Kingdom | 1 | <1% |
| Canada | 1 | <1% |
| France | 1 | <1% |
| Unknown | 139 | 97% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 25 | 17% |
| Other | 21 | 15% |
| Student > Bachelor | 15 | 10% |
| Student > Master | 12 | 8% |
| Student > Ph. D. Student | 9 | 6% |
| Other | 25 | 17% |
| Unknown | 37 | 26% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 83 | 58% |
| Nursing and Health Professions | 7 | 5% |
| Sports and Recreations | 5 | 3% |
| Agricultural and Biological Sciences | 2 | 1% |
| Engineering | 2 | 1% |
| Other | 4 | 3% |
| Unknown | 41 | 28% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 February 2014.
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#18,333,600
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Outputs from Strategies in Trauma and Limb Reconstruction
#59
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#126,491
of 164,311 outputs
Outputs of similar age from Strategies in Trauma and Limb Reconstruction
#1
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