Evaluation of Lauge-Hansen Designation of Weber C Fractures

Hinds, Richard M.; Schottel, Patrick C.; Berkes, Marschall B.; Little, Milton T. M.; Helfet, David L.; Lorich, Dean G.

doi:10.1053/j.jfas.2014.03.015

Cited by 12 publications

(13 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An IMMF is relatively uncommon in the daily activity. A medial malleolar fracture is easily associated with a lateral malleolar fracture because a supination ankle injury is four times more common than a pronation ankle injury (80% versus 20%) [8,12,20,21]. In normal human gait, the foot sustains the ground reaction forces over the lateral aspect of sole (the medial aspect of sole being vaulted without touching the ground).…”

Section: Discussionmentioning

confidence: 99%

“…When a step is missed, the foot is generally in the supine position. The lateral malleolus becomes highly tensed and easily breaks before the medial malleolus [6,7,20].…”

Section: Discussionmentioning

confidence: 99%

“…When a patient with an ankle injury is examined, the whole lateral aspect of the ipsilateral leg should be evaluated concomitantly (Fig. 1) [20,22]. If pain and tenderness are found, plain radiographs of the tibia must be taken to evaluate a combined bular fracture.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Research The Representativeness of An Isolated Medial Malleolar Fracture

Wu¹,

Yeh²,

Lee³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: An isolated medial malleolar fracture (IMMF) is relatively uncommon.Not only is the treatment principle undetermined well, but also is the patho-mechanism debatable. The goal of this retrospective study intended to clarify the patho-mechanism of an IMMF and develop an optimal treatment principle to upgrade a success rate.Methods: For the 10-year period, 59 consecutive adult patients (average, 38 years; range, 18-77 years) with an IMMF were treated. The causes included 42.4% of motorcycle accidents, 20.3% of working injuries, 10.2% of car accidents, 10.2% of slide injuries, and 16.9% of others. The 59 injuries were classified to 59.3% of stage 1 pronation-external rotation (PE), 20.3% of stage 2 PE, 10.2% of stage 2 pronation-abduction (PA), and 10.2% of stage 2 supination-adduction (SA) injuries. Unstable fractures which comprised stage 2 PA and stage 2 SA injuries were treated with internal fixation. Stable fractures which comprised stage 1 PE and stage 2 PE injuries were treated with either internal fixation or conservative techniques.Results: Fifty patients (84.7%, 50 / 59) were followed for at least one year (average, 1.3 years; range, 1-3.1 years). Forty-nine fractures healed with a union rate of 98%. Satisfactory ankle function was achieved in 84% of patients (42 / 50). Four out of eight patients with an unsatisfactory ankle function sustained syndesmotic diastasis. One fracture which was treated with internal fixation sustained screw breakage with nonunion. This patient also had unsatisfactory ankle function.Conclusion: Not all IMMFs can be treated conservatively. Practically, an IMMF should be classified into a stable or unstable type based on radiographs and clinical stress tests. A stable type may include 80% of IMMFs which may be treated with either surgical or conservative techniques. An unstable type may include 20% of IMMFs which had better be treated with internal fixation.

show abstract

Section: Discussionmentioning

confidence: 99%

“…When a step is missed, the foot is generally in the supine position. The lateral malleolus becomes highly tensed and easily breaks before the medial malleolus [6,7,20].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Research The Representativeness of An Isolated Medial Malleolar Fracture

Wu¹,

Yeh²,

Lee³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In our current investigation, assessment of fibular fracture morphology and location above the syndesmosis was critical for correctly designating the Lauge-Hansen class with injury radiographs and was based on a recent study. Hinds et al 19 reviewed 132 Weber C fractures and differentiated PER, SER, and PAB fractures by identifying the anterosuperior to posteroinferior, anteroinferior to posterosuperior, and transverse or oblique orientation of the fibula fractures, respectively. The authors also concluded that ankle fractures with a fibular fracture within 3.5 cm of the syndesmosis were unlikely to be PER fractures.…”

Section: Discussionmentioning

confidence: 99%

Correlation Between the Lauge-Hansen Classification and Ligament Injuries in Ankle Fractures

Warner

Garner

Hinds

et al. 2015

Journal of Orthopaedic Trauma

Self Cite

View full text Add to dashboard Cite

show abstract

“…The Lauge-Hansen classification 31 is not a perfect system but does emphasise the (mostly) predictable sequence of injury to either bone or ligament. 32,33 Using the most common supination-external rotation (SER) type of injury as an example, stages I and II are consistent in adults (stage I, partial injury to the anterior inferior tibiofibular ligament; stage II, an oblique fibula fracture). In adolescents, stage I may manifest as an avulsion fracture.…”

Section: Cite This Articlementioning

confidence: 99%

Posterior malleolus fractures

Solan

Sakellariou

2017

The Bone & Joint Journal

View full text Add to dashboard Cite

The posterior malleolus component of a fracture of the ankle is important, yet often overlooked. Pre-operative CT scans to identify and classify the pattern of the fracture are not used enough. Posterior malleolus fractures are not difficult to fix. After reduction and fixation of the posterior malleolus, the articular surface of the tibia is restored; the fibula is out to length; the syndesmosis is more stable and the patient can rehabilitate faster. There is therefore considerable merit in fixing most posterior malleolus fractures. An early postoperative CT scan to ensure that accurate reduction has been achieved should also be considered. Cite this article:

show abstract

Evaluation of Lauge-Hansen Designation of Weber C Fractures

Cited by 12 publications

References 11 publications

Research The Representativeness of An Isolated Medial Malleolar Fracture

Research The Representativeness of An Isolated Medial Malleolar Fracture

Correlation Between the Lauge-Hansen Classification and Ligament Injuries in Ankle Fractures

Posterior malleolus fractures

Contact Info

Product

Resources

About