Isolated posterior malleolus fracture: a rare injury mechanism

Abstract

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.

An analysis of perioperative hidden blood loss in femoral intertrochanteric fractures: Bone density is an important influencing factor

“…Some researchers found that the hidden blood loss in patients with Evans and type fractures was signi cantly lower than that in patients with and type fractures. They also found that there was a relationship between mean platelet volume and reoperation occurrence [4]. The results of our study showed that the hidden blood loss in patients with unstable fractures was signi cantly higher than that in patients with stable fractures, which con rms present research.…”

The isolated posterior malleolar fracture and syndesmotic instability: A case report and review of the literature

“…Isolated fractures of the posterior malleolus are uncommon injuries and no large case series are available in current literature. We performed a literature serach and identified 75 cases [5] , [6] , [9] , [13] , [14] , [15] , [16] , [17] , [18] , [19] . The mean age was 31.6 (±5.7) years, with men being more often affected than women (total of 45 males and 30 females).…”

Bone density is an important influence factor: an analysis of perioperative hidden blood loss in femoral intertrochanteric fractures

“…The results showed that with the decrease of bone density in the body, hematopoietic function gradually decreased. And the results showed that osteoporosis can cause the weakening of hematopoietic function in the body [11] . Therefore, it was speculated that the hematopoietic function of patients with osteoporosis was also weak, and the compensatory ability of the body was also relatively poor after the operation.…”