Rockwood Adults CH64

2832

SECTION FOUR • Lower Extremity

Tibia/fibula, malleolar, suprasyndesmotic, simple diaphyseal fracture of fibula (44-C1) 1. Rupture of medial collateral ligament (44-C1.1) 2. With fracture of medial malleolus (44-C1.2)

3. With fracture of medial malleolus and a Volkmann (Dupuytren) (44-C1.3) (1) extra-articular avulsion (2) peripheral articular fragment (3) significant articular fragment

C1

Tibia/fibula, malleolar, suprasyndesmotic, multifragmentary fibular diaphyseal fracture (44-C2)

2. With fracture of medial malleolus (44-C2.2)

3. With fracture of medial malleolus and a Volkmann (Dupuytren) (44-C2.3) (1) extra-articular avulsion (2) peripheral articular fragment (3) significant articular fragment

1. With rupture of medial collateral ligament (44-C2.1)

C2

Tibia/fibula, malleolar, suprasyndesmotic, proximal fibular lesion (44-C3) (1) fracture through neck (2) fracture through head (3) proximal tibiofibular dislocation (4) rupture of medial collateral ligament (5) fracture of medial malleolus (6) articular fragment 1. Without shortening, without Volkmann (44-C3.1) 2. With shortening, without Volkmann (44-C3.2)

3. Medial lesion and a Volkmann (44-C3.3)

C3

Figure 64-7.  ( Continued ) Subtypes of “C-type” ankle fractures. (Reprinted with permission from Marsh JL, Slongo TF, Agel J, et al. Fracture and dislocation classification compendium—2007: Orthopaedic Trauma Association classification, database and outcomes committee. J Orthop Trauma . 2007;21(10 Suppl):S1–S133.)