Trimalleolar fracture is one among the three fractures that involve fractures of the ankle, the other two being single malleolar fracture and bimalleolar fracture. When fractures of the medial, lateral malleoli of the tibia occur in conjunction with the injury of posterior malleoli, it is called trimalleolar fracture. Ankle injuries are mostly sports-related and only 15% of those patients who are evaluated for ankle injuries show significant symptoms of a fracture. Hence for proper management of ankle injuries, familiarity with a thorough ligamentous examination and the Ottawa ankle rules are very important.
The primary care physician should be able to differentiate between a stable injury and an unstable injury. A ring is formed around the ankle mortise by the bones and ligaments. Diagnosis and treatment for trimalleolar fracture need careful examination of the patient. Some important facts like whether the injury was due to inversion or eversion or due to internal or external rotation of the foot should be gathered by questioning the patient. If the patient is able to recall these details, it will be useful to assess patient's stability. Yet another important information the patient can provide is whether he or she could bear weight after injury, since it is specified in the Ottawa ankle rules that inability to bear weight after the injury indicates the need for radiographic examination. Casting or surgical correction are the two options of treatment available for patients who suffer trimalleolar fracture.
Injuries of the ankle while indulging in sports or some other activity can be termed as ankle injury. The most common ankle injury is an ankle sprain and occurs due to an injury i.e. either a tear, twist or overstretch of the ligaments. The most often sprained joint is the ankle joint. A stretch of the ligament causes a minor sprain and a severe sprain is a result of tearing of the ligament itself. Common causes for an ankle sprain:
Symptoms of ankle sprain include severe pain at the site of the injury and inflammation and possible bruising. There is trouble in moving the joint. Other than cases of severe ankle sprains where professional help is required, an ankle sprain can be treated by self care. The most common method followed for ankle sprain is RICE:
Medications prescribed by the doctor would include non-steroidal anti-inflammatory drugs such as ibuprofen. The physician will ask for a x-ray and according to the extent of the injury advice for physical therapy and recommend support for the ankle through taping or bracing of the ankle. Very severe damage to the ligament might call for a surgery to repair the same.
Prevention from ankle injury
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Bibliography / Reference
Collection of Pages - Last revised Date: June 24, 2019