Comparison of Manual and Gravity Stress Radiographs for the Evaluation of Supination-External Rotation Fibular Fractures

Deltoid Ligament Repair Versus Syndesmotic Fixation in Bimalleolar Equivalent Ankle Fractures

“…19 To be eligible for the study, subjects had to undergo either lateral malleolus ORIF with syndesmotic fixation (group 1) or lateral malleolus ORIF with deltoid ligament repair (group 2). Exclusion criteria included multiple fractures, open fractures, previous ankle injuries and deformities, and pediatric patients (,16 years old).…”

Weightbearing Radiographs Facilitate Functional Treatment of Ankle Fractures of Uncertain Stability

“…A standard mortise view is taken in 10 of internal rotation of the tibia, with the positive values the same as those for the stress radiograph (16). It has been shown that the gravity stress radiograph is as reliable and is perceived by patients as more comfortable in detecting a talar shift compared with the manual stress radiograph (16,17).…”

Supination-External Rotation Ankle Fractures: Stability a Key Issue

“…A dynamic examination (stress radiographs) could be of value. Stress radiographs [12,25,34] and the gravity stress test [15,29] are methods proposed to distinguish between stable and unstable fracture patterns (Fig. 4).…”

“…Based on this concept, manual [33,47] and gravity stress radiographic tests [15,29] have been introduced to identify unstable fractures. A medial clear joint space (space between the medial malleolus and the talus) greater than 4 mm is considered abnormal by many authors [7,11,12,15,19,25,33,41].…”