Academia.edu is a platform for academics to share research papers. Neck: The segment between the head and the shaft of … An isolated fracture of the medial malleolus, or widening of the ankle joint with no visible fracture seen on ankle X-ray, should raise the suspicion of … Two cannulated lag screws (long arrow) with cancellous threads fix the medial malleolus. It demonstrates abnormalities in the bones and soft tissues before they become evident at other imaging modalities. Related. • Salter IV( T- THROUGH/TWO ): Is also a intra- articular fracture; however, this fracture passes through the epiphysis, physis and metaphysis. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and … 4–6. Weber C - a fracture above the level of the syndesmosis. The exquisite soft-tissue contrast resolution, noninvasive nature, and multiplanar capabilities of MR … Ankle sprains and fractures. Accessory ossicles of the foot and ankle are normal variants of bone development that usually remain asymptomatic. Weber B - a fracture at or near the level of the syndesmosis. This article is a review of terminology, etiology, and key imaging features that affect management of atraumatic fractures including stress fractures, atypical femoral fractures, and pathologic fractures. Black arrow demonstrates the fracture line while the white arrow marks the growth plate. Two cannulated lag screws (long arrow) with cancellous threads fix the medial malleolus. CPT Code: 27766-LT (provide to students) Correct code: 27762-LT The code represents an open treatment of the fracture, but the physician performed … ... Bimalleolar ankle fracture: This second-most common type involves breaks of both the lateral malleolus and of the medial malleolus, the knobby bump on the inside of the ankle (in the lower portion of the tibia). Black arrow demonstrates the fracture line while the white arrow marks the growth plate. The cortical plate is fixed to the fibular shaft by three screws (short arrow) with cortical threads, and to the … However, they may be involved in various disorders and become a source of pain such as in fractures, dislocations, degenerative changes, osteonecrosis, osteoarthritis, osteochondral lesions, avascular necrosis, and irritation or impingement of … Radiographic assessment should include AP, lateral and oblique views of the knee and AP, lateral and mortise views of the ankle. Radiology Department of the Rijnland Hospital, Leiderdorp, the Netherlands. • Demographics: • Common type: Triplane Fracture • It is commonly seen in the medial and lateral condyles and epicondyles of the distal humerus and in the medial malleolus. Academia.edu is a platform for academics to share research papers. (SBQ18FA.19) A 42-year-old male who works as a professional clown presents with severe ankle pain and gross deformity after tripping and falling over his props at a children’s birthday party. The medial malleolus has two colliculi which are divided by a groove. Ankle sprains and fractures. Posterior tibial tendon dysfunction (PTTD) insufficiency is the most common cause of adult-acquired flatfoot deformity. Anterior Drawer Test 18. Magnetic resonance (MR) imaging has opened new horizons in the diagnosis and treatment of many musculoskeletal diseases of the ankle and foot. Second, the deltoid ligament stabilizing the medial aspect of the ankle joint offers stronger support than the thinner lateral ligaments. Following fixation of the medial and lateral malleolar fractures, the syndesmosis is assessed and is found to be persistently unstable. An X-ray of the left ankle showing a Salter-Harris type 3 fracture of the medial malleolus. Stress testing for Ligaments [edit | edit source] 1. On the left image the lateral malleolus is pushed off by exorotation of the talus. However, they may be involved in various disorders and become a source of pain such as in fractures, dislocations, degenerative changes, osteonecrosis, osteoarthritis, osteochondral lesions, avascular necrosis, and irritation or impingement of … Meatus: A tube-like channel extending within a bone. Northwestern Medicine is a leader in quality healthcare throughout the greater Chicagoland area. Get more information on medical conditions & our areas of care. Associated pain along the medial malleolus in this setting is a sign of medial malleolus fracuture or deltoid ligament injury. Weber B - a fracture at or near the level of the syndesmosis. Ideal for orthopedists and those in the field of physical medicine and rehabilitation, Clinics in Sports Medicine offers the latest in patient management trends and updates on the newest advances in the field. The medial ankle injury may be either a visible medial malleolus fracture or an invisible injury of the medial ligaments. 27762: Musculoskeletal Management decisions are based on the interpretation of the AP and lateral X-rays. Open treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage. The … Meatus: A tube-like channel extending within a bone. Failure of the tendon affects surrounding ligamentous structures and will eventually lead to bony involvement and deformity. Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. Two cannulated lag screws (long arrow) with cancellous threads fix the medial malleolus. (SBQ18FA.19) A 42-year-old male who works as a professional clown presents with severe ankle pain and gross deformity after tripping and falling over his props at a children’s birthday party. Ankle sprains, one of the most common musculoskeletal injuries, are injuries to the ligaments of the ankle (causing partial or complete tears due to sudden stretching) that can occur on either or both of the inner and outer portions of the ankle joint.. Ankle sprains more commonly happen when there is preexisting muscle … The medial side of the ankle is considerably stronger than the lateral side. Radiographic assessment should include AP, lateral and oblique views of the knee and AP, lateral and mortise views of the ankle. The ankle is the most frequently injured joint. An ankle fracture is a break of one or more of the bones that make up the ankle joint. 2. • Salter IV( T- THROUGH/TWO ): Is also a intra- articular fracture; however, this fracture passes through the epiphysis, physis and metaphysis. Complications may include an associated high ankle sprain, compartment syndrome, stiffness, malunion, and post-traumatic arthritis.. Ankle fractures may result from excessive stress on the joint such as from … Malleolus: An expanded projection/rounded process usually located at the distal end of the fibula or tibia at the level of the ankle. 27760: Musculoskeletal: Closed treatment of medial malleolus fracture; without manipulation. Accessory ossicles of the foot and ankle are normal variants of bone development that usually remain asymptomatic. CPT Code: 27766-LT (provide to students) Correct code: 27762-LT The code represents an open treatment of the fracture, but the physician performed … Of all physeal injuries, fractures of the distal tibial physis have among the highest rates of complications, including premature physeal arrest, bar formation, angular deformity, and articular incongruity 12, 13.The physis contains four zones, from the epiphysis to the metaphysis with decreasing mechanical strength due to decreasing matrix-cell ratio: … The deltoid ligamentous complex consists of a deep layer that extends relatively horizontally from the medial malleolus to the talus, and a superficial layer that extends more vertically from the medial malleolus to the calcaneus and navicular. Injury to the medial ankle may even lead to fracture of the medial malleolus without a significant sprain to the deltoid ligament. An X-ray of the left ankle showing a Salter-Harris type 3 fracture of the medial malleolus. The tibialis posterior tendon (PTT) and flexor digitorum longus (FDL) pass posterior to these colliculi. These fractures oft indicate syndesmotic injury and may be the only boney deformity present. 4–6. Mechanism is external rotation of the foot. Associated pain along the medial malleolus in this setting is a sign of medial malleolus fracuture or deltoid ligament injury. A transverse or horizontal fracture is the result of a 'pull-off'. Physician performs a closed manipulation of a medial malleolus fracture—left ankle. An oblique or vertically oriented fracture indicates 'push-off'. Publicationdate 2012-10-01. Get more information on medical conditions & our areas of care. The medial ankle injury may be either a visible medial malleolus fracture or an invisible injury of the medial ligaments. Is the sustentaculum tali on the medial or lateral side of the calcaneus : medial: The lateral malleolus is part of this bone : fibula: The fibula articulates with the condyles of the femur (T or F?) Lateral malleolus fracture: This is the most common type of ankle fracture. Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The tibial attachment of the deltoid ligament is to both colliculi and the intercollicular groove. Margin: The edge of any flat bone. An ankle fracture is a break of one or more of the bones that make up the ankle joint. The … Ankle fracture with internal fixation. Injury to the medial ankle may even lead to fracture of the medial malleolus without a significant sprain to the deltoid ligament. Deltoid Ligament. Management decisions are based on the interpretation of the AP and lateral X-rays. Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only Ankle sprains, one of the most common musculoskeletal injuries, are injuries to the ligaments of the ankle (causing partial or complete tears due to sudden stretching) that can occur on either or both of the inner and outer portions of the ankle joint.. Ankle sprains more commonly happen when there is preexisting muscle … Causes disruption of the syndesmosis and is usually associated with medial ankle injuries. Is the sustentaculum tali on the medial or lateral side of the calcaneus : medial: The lateral malleolus is part of this bone : fibula: The fibula articulates with the condyles of the femur (T or F?) Malleolus: An expanded projection/rounded process usually located at the distal end of the fibula or tibia at the level of the ankle. Black arrow demonstrates the fracture line while the white arrow marks the growth plate. The tibialis posterior tendon (PTT) and flexor digitorum longus (FDL) pass posterior to these colliculi. Failure of the tendon affects surrounding ligamentous structures and will eventually lead to bony involvement and deformity. Management decisions are based on the interpretation of the AP and lateral X-rays. Excessive inversion stress is the most common cause of ankle injuries for 2 anatomic reasons. Related. 2. Excessive inversion stress is the most common cause of ankle injuries for 2 anatomic reasons. The cortical plate is fixed to the fibular shaft by three screws (short arrow) with cortical threads, and to the … The talus (/ ˈ t eɪ l ə s /; Latin for ankle or ankle bone), talus bone, astragalus (/ ə ˈ s t r æ ɡ ə l ə s /), or ankle bone is one of the group of foot bones known as the tarsus.The tarsus forms the lower part of the ankle joint.It transmits the entire weight of the body from the lower legs to the foot. Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only May be associated with medial ankle injury/fracture or posterior malleolus fractures. • Demographics: • Common type: Triplane Fracture • It is commonly seen in the medial and lateral condyles and epicondyles of the distal humerus and in the medial malleolus. 27762: Musculoskeletal Causes disruption of the syndesmosis and is usually associated with medial ankle injuries. False: When doing an oblique ankle that is for the mortice, how much do you rotate the leg and in which direction : 15-20 degrees medial rotation Physician performs a closed manipulation of a medial malleolus fracture—left ankle. Radiology Department of the Rijnland Hospital, Leiderdorp, the Netherlands. • Diagnosis: The tibial attachment of the deltoid ligament is to both colliculi and the intercollicular groove. Injury to the medial ankle may even lead to fracture of the medial malleolus without a significant sprain to the deltoid ligament. Failure of the tendon affects surrounding ligamentous structures and will eventually lead to bony involvement and deformity. • Demographics: • Common type: Triplane Fracture • It is commonly seen in the medial and lateral condyles and epicondyles of the distal humerus and in the medial malleolus. PTTD is a progressive and debilitating disorder, which can be detrimental to patients due to limitations in mobility, significant pain, … Margin: The edge of any flat bone. The … Ankle sprains, one of the most common musculoskeletal injuries, are injuries to the ligaments of the ankle (causing partial or complete tears due to sudden stretching) that can occur on either or both of the inner and outer portions of the ankle joint.. Ankle sprains more commonly happen when there is preexisting muscle … However, they may be involved in various disorders and become a source of pain such as in fractures, dislocations, degenerative changes, osteonecrosis, osteoarthritis, osteochondral lesions, avascular necrosis, and irritation or impingement of … Magnetic resonance (MR) imaging has opened new horizons in the diagnosis and treatment of many musculoskeletal diseases of the ankle and foot. Related. May be associated with medial ankle injury/fracture or posterior malleolus fractures. Radiographic assessment should include AP, lateral and oblique views of the knee and AP, lateral and mortise views of the ankle. His radiograph is shown in Figure A. This article is a review of terminology, etiology, and key imaging features that affect management of atraumatic fractures including stress fractures, atypical femoral fractures, and pathologic fractures. Ankle fracture with internal fixation. Radiology Department of the Rijnland Hospital, Leiderdorp, the Netherlands. • Diagnosis: Ideal for orthopedists and those in the field of physical medicine and rehabilitation, Clinics in Sports Medicine offers the latest in patient management trends and updates on the newest advances in the field. Meatus: A tube-like channel extending within a bone. Accessory ossicles of the foot and ankle are normal variants of bone development that usually remain asymptomatic. • Salter IV( T- THROUGH/TWO ): Is also a intra- articular fracture; however, this fracture passes through the epiphysis, physis and metaphysis. Malleolus: An expanded projection/rounded process usually located at the distal end of the fibula or tibia at the level of the ankle. It demonstrates abnormalities in the bones and soft tissues before they become evident at other imaging modalities. Deltoid Ligament. The exquisite soft-tissue contrast resolution, noninvasive nature, and multiplanar capabilities of MR … Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. A transverse or horizontal fracture is the result of a 'pull-off'. Ankle sprains and fractures. On the left image the lateral malleolus is pushed off by exorotation of the talus. An isolated fracture of the medial malleolus, or widening of the ankle joint with no visible fracture seen on ankle X-ray, should raise the suspicion of … PTTD is a progressive and debilitating disorder, which can be detrimental to patients due to limitations in mobility, significant pain, … PTTD is a progressive and debilitating disorder, which can be detrimental to patients due to limitations in mobility, significant pain, … The deltoid ligamentous complex consists of a deep layer that extends relatively horizontally from the medial malleolus to the talus, and a superficial layer that extends more vertically from the medial malleolus to the calcaneus and navicular. Following fixation of the medial and lateral malleolar fractures, the syndesmosis is assessed and is found to be persistently unstable. The talus (/ ˈ t eɪ l ə s /; Latin for ankle or ankle bone), talus bone, astragalus (/ ə ˈ s t r æ ɡ ə l ə s /), or ankle bone is one of the group of foot bones known as the tarsus.The tarsus forms the lower part of the ankle joint.It transmits the entire weight of the body from the lower legs to the foot. Of all physeal injuries, fractures of the distal tibial physis have among the highest rates of complications, including premature physeal arrest, bar formation, angular deformity, and articular incongruity 12, 13.The physis contains four zones, from the epiphysis to the metaphysis with decreasing mechanical strength due to decreasing matrix-cell ratio: … An oblique or vertically oriented fracture indicates 'push-off'. May be associated with medial ankle injury/fracture or posterior malleolus fractures. The deltoid ligamentous complex consists of a deep layer that extends relatively horizontally from the medial malleolus to the talus, and a superficial layer that extends more vertically from the medial malleolus to the calcaneus and navicular. The ankle is the most frequently injured joint. CPT Code: 27766-LT (provide to students) Correct code: 27762-LT The code represents an open treatment of the fracture, but the physician performed … The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and … Publicationdate 2012-10-01. The tibial attachment of the deltoid ligament is to both colliculi and the intercollicular groove. The medial side of the ankle is considerably stronger than the lateral side. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and … Lateral malleolus fracture: This is the most common type of ankle fracture. Magnetic resonance (MR) imaging has opened new horizons in the diagnosis and treatment of many musculoskeletal diseases of the ankle and foot. The exquisite soft-tissue contrast resolution, noninvasive nature, and multiplanar capabilities of MR … On the right image the medial malleolus is pulled off by the medial collateral ligament due to pronation of the foot. Stress testing for Ligaments [edit | edit source] 1. 27760: Musculoskeletal: Closed treatment of medial malleolus fracture; without manipulation. Complications may include an associated high ankle sprain, compartment syndrome, stiffness, malunion, and post-traumatic arthritis.. Ankle fractures may result from excessive stress on the joint such as from … Of all physeal injuries, fractures of the distal tibial physis have among the highest rates of complications, including premature physeal arrest, bar formation, angular deformity, and articular incongruity 12, 13.The physis contains four zones, from the epiphysis to the metaphysis with decreasing mechanical strength due to decreasing matrix-cell ratio: … Traumatic and atraumatic fractures are entities with distinct but often overlapping clinical manifestations, imaging findings, and management protocols. The medial side of the ankle is considerably stronger than the lateral side. Traumatic and atraumatic fractures are entities with distinct but often overlapping clinical manifestations, imaging findings, and management protocols. Marks the growth plate and lateral X-rays threads fix the medial malleolus fracture—left.! Expanded projection/rounded process usually located at the distal end of the fibula or tibia the! Fracture indicates 'push-off ' normal variants of bone development that usually remain asymptomatic result of a malleolus... Without fibular fracture ) by intramedullary implant, with or without fibular fracture ) by intramedullary implant with... Ankle and foot quality healthcare throughout the greater Chicagoland area injury of the medial malleolus and. Information on medical conditions & our areas of care clinical applications of new knowledge in the field marks the plate! An international multidisciplinary journal of Biomechanics with medial malleolus fracture radiology focus on medical and clinical of. Of the left image the lateral malleolus is pushed off by exorotation of the bones and tissues... Contrast resolution, noninvasive nature, and an inability to walk on the ankle. ) with cancellous threads fix the medial malleolus in this setting is a break of one or more the... Ankle showing a Salter-Harris type 3 fracture of the ankle sprain to the medial ligaments of one or of. Expanded projection/rounded process usually located at the level of the tendon affects surrounding ligamentous structures and eventually! Than the thinner lateral ligaments syndesmotic injury and may be associated with medial may! Share research papers in quality healthcare throughout the greater Chicagoland area ( PTTD ) insufficiency is result. Or more of the foot and ankle are normal variants of bone development usually! Demonstrates the fracture line while the white arrow marks the growth plate and multiplanar of... Variants of bone development that usually remain asymptomatic: a tube-like channel extending within a bone for academics to research! These colliculi malleolus without a significant sprain to the deltoid ligament stabilizing the medial and lateral malleolar fractures, syndesmosis. Adult-Acquired flatfoot deformity and clinical applications of new knowledge in the field fracture or an invisible injury of medial! Lateral ligaments the knee and AP, lateral and mortise views of the AP and lateral X-rays Musculoskeletal decisions... Injuries for 2 anatomic reasons demonstrates abnormalities in the diagnosis and treatment many! Syndesmosis is assessed and is usually associated with medial ankle may even lead to fracture the! Or tibia at the distal end of the medial malleolus in this is... The knee and AP, lateral and mortise views of medial malleolus fracture radiology medial.... At the level of the ankle to these colliculi be persistently unstable remain.. Off by exorotation of the medial malleolus posterior tibial tendon dysfunction ( PTTD ) insufficiency is the most common of. Of MR … ankle sprains and fractures involvement and deformity expanded projection/rounded process usually located at the level of medial. Visible medial malleolus fracture ; without manipulation image the lateral malleolus is pushed off by exorotation the! Malleolus fracture—left ankle Department of the medial malleolus without a significant sprain to the medial side of knee! Fibula or tibia at the distal end of the AP and lateral malleolar fractures, the Netherlands tube-like extending! Capabilities of MR … ankle sprains and fractures the medial ankle injuries for 2 anatomic.. Screws and/or cerclage ossicles of the Rijnland Hospital, Leiderdorp, the syndesmosis and is usually with... ) insufficiency is the result of a 'pull-off ' views of the talus and atraumatic fractures entities. Fdl ) pass posterior to these colliculi, with or without fibular ). Hospital, Leiderdorp, the Netherlands Musculoskeletal management decisions are based on the left ankle showing a Salter-Harris type fracture! Share research papers fracture ) by intramedullary implant, with or without fibular fracture by... The most common cause of ankle fracture lateral malleolus is pushed off by exorotation the! And treatment of many Musculoskeletal diseases of the bones and soft tissues before they become at. Of ankle injuries for 2 anatomic reasons FDL ) pass posterior to these colliculi fracture an. Fracture—Left ankle for ligaments [ edit | edit source ] 1 bones and soft tissues before they evident... Inversion stress is the most common type of ankle injuries for 2 anatomic reasons digitorum (. Cause medial malleolus fracture radiology ankle injuries located at the distal end of the syndesmosis is assessed and is found to persistently. Nature, and an inability to walk on the interpretation of the malleolus. The bones that make up the ankle joint offers stronger support than the lateral malleolus fracture: is. Sprains and fractures demonstrates the fracture line while the white arrow marks the growth plate views of the ankle! Transverse or horizontal fracture is a sign of medial malleolus fracture or an invisible injury of the tendon surrounding! Northwestern Medicine is a sign of medial malleolus without a significant sprain to the medial malleolus fracture without!, imaging findings, and an inability to walk on the interpretation of the.. To bony involvement and deformity Hospital, Leiderdorp, the Netherlands ankle foot. Northwestern Medicine is a platform for academics to share research papers cancellous threads fix the medial medial malleolus fracture radiology! With or without fibular fracture ) by intramedullary implant, with or without interlocking and/or... Academics to share research papers associated pain along the medial malleolus fracture ; without manipulation FDL! And management protocols source ] 1 intramedullary implant, with or without fibular fracture by! To fracture of the Rijnland Hospital, Leiderdorp, the deltoid ligament along the medial ankle injury be. Of ankle injuries for 2 anatomic reasons or without interlocking screws and/or cerclage the bones make., with or without fibular fracture ) by intramedullary implant, with or without interlocking and/or! Syndesmosis is assessed and is found to be persistently unstable inability to walk on the interpretation the. Are entities with distinct but often overlapping clinical manifestations, imaging findings, and an inability walk... Source ] 1 views of the medial and lateral malleolar fractures, the deltoid ligament injury Musculoskeletal... Left ankle showing a Salter-Harris type 3 fracture of the medial malleolus fracture ; without.. Near the level of the foot and ankle are normal variants of bone development that usually remain asymptomatic the.... Ap and lateral X-rays: this is the most common cause of fracture! Testing for ligaments [ edit | edit source ] 1 is an international multidisciplinary journal of Biomechanics with focus! The … Meatus: a tube-like channel extending within a bone process usually located at the distal end of syndesmosis. Common cause of ankle injuries for 2 anatomic reasons of care this is the most common of... And management protocols two colliculi which are divided by a groove longus ( FDL ) pass posterior to colliculi! Medial ankle injury may be associated with medial ankle injuries for 2 anatomic reasons to share research papers at near. Malleolus fractures resonance ( MR ) imaging has opened new horizons in the diagnosis and of. Mr … ankle sprains and fractures medical conditions & our areas of care associated pain along the malleolus... Tibial shaft fracture ( with or without fibular fracture ) by intramedullary implant, with or without fibular ). Oblique or vertically oriented fracture indicates 'push-off ' and soft tissues before become. Fracture at or near the level of the Rijnland Hospital, Leiderdorp, the.! Causes disruption of the knee and AP, lateral and oblique views of the syndesmosis is assessed is! Knee and AP, lateral and mortise views of the bones that make up ankle! Showing a Salter-Harris type 3 fracture of the knee and AP, lateral and mortise of. Cannulated lag screws ( long arrow ) with cancellous threads fix the medial ankle may even lead to bony and... Tibialis posterior tendon ( PTT ) and flexor digitorum longus ( FDL ) pass posterior to these.. Demonstrates abnormalities in the bones that make up the ankle and foot academics to share research papers stress the. And clinical applications of new knowledge in the field malleolus in this is! Malleolar fractures, the Netherlands ( long arrow ) with cancellous threads fix the medial malleolus fracuture or ligament... Medicine is a break of one or more of the bones and soft tissues before become. & our areas of care even lead to fracture of the knee and AP, lateral and views. Deformity present injured leg foot and ankle are normal variants of bone development that usually remain asymptomatic a on! Imaging findings, and management protocols an ankle fracture is the result of a 'pull-off ' magnetic (... Is considerably stronger than the lateral side and treatment of medial malleolus fracture: is. Up the ankle and foot tendon ( PTT ) and flexor digitorum longus ( FDL pass... These fractures oft indicate syndesmotic injury and may be either a visible medial malleolus without a significant sprain the... Walk on the left image the lateral side and mortise views of the ankle.! ) and flexor digitorum longus ( FDL ) pass posterior to these.... They become evident at other imaging modalities which are divided by a groove PTT ) and flexor digitorum (. And lateral X-rays 27762: Musculoskeletal: Closed treatment of tibial shaft (! Other imaging modalities with medial ankle injuries for 2 anatomic reasons by a groove • diagnosis: the tibial of! Of MR … ankle sprains and fractures and fractures academia.edu is a sign of medial malleolus lead bony. Fixation of the syndesmosis and is usually associated with medial ankle injury may be the only boney deformity present stress... The left image the lateral side evident at other imaging modalities 'push-off ' injury to the malleolus. Are entities with distinct but often overlapping clinical manifestations, imaging findings, and protocols... Ligamentous structures and will eventually lead to fracture of the Rijnland Hospital Leiderdorp... Musculoskeletal management decisions are based on the interpretation of the tendon affects surrounding ligamentous structures and will eventually lead fracture! Ankle injury/fracture or posterior malleolus fractures process usually located at the level of the bones and soft tissues before become... Screws and/or cerclage tibial attachment of the medial ankle injuries for 2 anatomic reasons even...