Felis ISSN 2398-2950

Malleolus: shearing injury

Contributor(s): James Cook, Noel Fitzpatrick

Introduction

  • Cause: HBC (RTA) - abrasion of prominences of medial (most common and more severe) and lateral malleoli.
  • Signs: soft tissue loss, hock instability, intra-articular contamination.
  • Treatment: open wound management followed by repair of collateral ligaments or talocrural/pantarsal arthrodesis.
  • Prognosis: generally good if arthrodesis can be avoided and skin loss in not severe.

Pathogenesis

Etiology

  • Trauma, eg HBC (RTA): limb is abraded along road surface causing loss of skin, underlying soft tissue and bone.

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed papers


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