Ankle Fracture:

• common injuries, usually caused by the ankle rolling inward/outward or a crush type injury (e.g. car accident or hard landing)

weber classification (based on involvement of fibula):

1. fibula fractured below the tibio-fibula syndesmosis (as a result of an abduction or adduction injury), the syndesmosis (tibio-fibula) ligaments are intact, these fractures are usually stable after reduction
2. oblique fibular fracture starting at level of the syndesmosis/joint line, the syndesmosis ligaments can be damaged, but are usually intact
3. fibular fracture above the syndesmosis, usually due to abduction injury, these are unstable fractures therefore can lead to rupture of syndesmosis ligaments

• N.B. you also need to assess for talar shift = joint widening between the tibia & the talus on the medial side of the ankle = deltoid ligament maybe damaged = unstable fracture
• treatment: analgesia, reduction (in A&E if any neurovascular damage), bloods (if surgery required), NBM, surgery (unstable fractures will require open reduction & internal fixation)

	AP view of ankle fracture
	Fixation of ankle fracture