Ankle Fractures in the Elderly

Koval, Kenneth J.; Lurie, Jon D.; Zhou, Weiping; Sparks, Michael; Cantu, Robert V.; Sporer, Scott M.; Weinstein, James Neil

doi:10.1097/01.bot.0000177105.53708.a9

Cited by 199 publications

(45 citation statements)

References 29 publications

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“…Research using Medicare claims data has estimated the incidence of fractures at various anatomic sites by age, race, and sex (4, 22–24) and by geographic region (25–28). Several other studies have evaluated a single fracture site (29–32). Studies of potential risk factors for fractures among Medicare beneficiaries have been limited to demographic factors, to a single clinical risk factor or to special populations, such as nursing facility patients (33–42).…”

Section: Introductionmentioning

confidence: 99%

Clinical and demographic factors associated with fractures among older Americans

et al. 2010

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Purpose This study investigates the associations of a history of fracture, comorbid chronic conditions, and demographic characteristics with incident fractures among Medicare beneficiaries. The majority of fracture incidence studies have focused on the hip and on white females. This study examines a greater variety of fracture sites and more population subgroups than prior studies. Methods We used Medicare claims data to examine the incidence of fracture at six anatomic sites in a random 5% sample of Medicare beneficiaries during the time period 2000 through 2005. Results For each type of incident fracture, women had a higher rate than men, and there was a positive association with age and an inverse association with income. Whites had a higher rate than nonwhites. Rates were lowest among African Americans for all sites except ankle and tibia/fibula, which were lowest among Asian Americans. Rates of hip and spine fracture were highest in the South, and fractures of other sites were highest in the Northeast. Fall-related conditions and depressive illnesses were associated with each type of incident fracture, conditions treated with glucocorticoids with hip and spine fractures and diabetes with ankle and humerus fractures. Histories of hip and spine fractures were associated positively with each site of incident fracture except ankle; histories of nonhip, nonspine fractures were associated with most types of incident fracture. Conclusions This study confirmed previously established associations for hip and spine fractures and identified several new associations of interest for nonhip, nonspine fractures.

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Section: Introductionmentioning

confidence: 99%

Clinical and demographic factors associated with fractures among older Americans

et al. 2010

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“…It is first introduced by Tobin [ 5 ] in 1943 as “parachute jumper's fracture”. All fractures of ankle are associated by posterior malleolus fracture by 14 to 44 percent [ 6 ], while isolated posterior malleolus fractures account only 1% of them [ 7 , 8 ]. Isolated posterior malleolus fractures are secondary to compression and axial loading mechanism, along with over-tension of the posterior syndesmosis ligament, and this type of fracture is not included in the classification system introduced by Lauge-Hansen [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Isolated posterior malleolus fracture: a rare injury mechanism

Serbest¹,

Tiftikçi²,

Tosun³

et al. 2015

Pan Afr Med J

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Sprain of the ankle is undoubtedly a common injury during athletic activity, and the sprain can be also associated with fracture of the ankle. Isolated posterior malleolus fracture is a very rare condition, which is usually missed. Here, we are presenting a 37 years old female patient, who suffered injury secondary pressing on brake pedal during collision in a traffic accident. Clinical evaluation is based on Ottawa Ankle Rules and a fracture is diagnosed; patient is started on daily activities at postoperative Week 8. This study aims to emphasize that Ottawa Ankle Rules are usually efficient for evaluating fractures of ankle, but clinicians should always make a detailed physical examination.

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“…The Danis-Weber classification system not only indicates the injuries relative to the distal tibiofibular syndesmosis, but also aids surgeons in selecting the location of the fibular incision (7,17). For type A and B fractures, the steel plate is placed on the lateral side of the fibula using a lateral incision and the distal end is usually fixed with one or two unicortical cancellous bone screws.…”

Section: Discussionmentioning

confidence: 99%

Anatomical factors affecting the selection of an operative approach for fibular fractures involving the posterior malleolus

Wang

Zhang

et al. 2012

Experimental and Therapeutic Medicine

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Several operative approaches are available at present for the exposure and fixation of distal fibular fractures combined with posterior malleolus fractures. The present study was designed to study the anatomical characteristics of the distal fibula and to thereby evaluate the advantages and limitations of various operative approaches, as well as their indications for specific conditions. Ten leg specimens from below the knee joint were dissected using posterior, lateral and posterolateral approaches to the fibula. The adjacent vulnerable structures, including nerves, blood vessels, tendons and ligaments, were carefully examined and their distances from the posterior malleolus were recorded. The distance was 7.2±4.1 mm between the sural nerve and the posterior section of the fibula, 79.2±23.5 mm between the lateral malleolus tip and the point where the shape changes in the lower fibula and 66.4±17.4 mm between the lateral malleolus and the jointed tendon of the peroneal and flexor hallux longus muscles. The widest anteroposterior diameter of the distal fibula was 27.3±3.5 mm. Various approaches have certain advantages and limitations when these anatomical factors are taken into account. The choice should be based on the height of the fibular fracture line, the type of posterior malleolus fracture, the effect of the fracture on the stability of the ankle joint and the materials used for internal fixation.

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Ankle Fractures in the Elderly

Abstract: The term ankle fracture involves a wide spectrum of injuries. We found a large variation through the United States in both the rate of ankle fractures and the percentage of those that undergo surgical intervention.

Cited by 199 publications

References 29 publications

Clinical and demographic factors associated with fractures among older Americans

Clinical and demographic factors associated with fractures among older Americans

Isolated posterior malleolus fracture: a rare injury mechanism

Anatomical factors affecting the selection of an operative approach for fibular fractures involving the posterior malleolus

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