In the presence of a femoral shaft fracture, evaluation of the femoral neck with fine-cut computed tomography and dedicated internal rotation hip radiographs significantly improves the ability to diagnose an associated femoral neck fracture.
We found syndesmotic instability to be common after anatomic and stable bony fixation in unstable Weber B SE pattern lateral malleolar fractures. Previously published criteria for syndesmotic instability based on cadaveric studies are not representative of the clinical situation. Syndesmotic instability in conjunction with unstable Weber B SE pattern lateral malleolar fractures must be sought out in the operating room with an intraoperative stress examination.
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