Common Lower Limb Injuries in Adults Fraser J Gill August 2015.

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Presentation transcript:

Common Lower Limb Injuries in Adults Fraser J Gill August 2015

Phalangeal Fractures

Phalangeal Dislocation

Metatarsal Fractures

Fractured Base 5h Metatarsal

Fractured Base 5 th Metatarsal “Jones’ Fracture”

Tarsometatarsal Dissociation “Lisfranc Injury”

Lisfranc Injury

Talus Fracture High risk of avascular necrosis

Osteochondral Fracture of Talus

Calcaneus Fracture Associated Injuries?

Calcaneus Fracture

Ankle Sprains

Distal Fibula Fracture

Weber Classification of Distal Fibula Fractures

Medial Malleolus Fracture

Bimalleolar Ankle Fracture

Trimalleolar Ankle Fracture

Ankle Fracture-Dislocation Skin/Neurovascular Compromise

Intra-Articular Distal Tibial Fracture “Pilon” Fracture

Achilles Tendon Rupture

Gastrocnemius Tear

Tibia Shaft Fracture Transverse vs Spiral Consider Compartment Syndrome

Compartments of the Lower Leg

Tibial Plateau Fracture Consider oblique views +/- CT scan

Lipohaemarthrosis

Fibular Neck Fracture Assess common peroneal (fibular) nerve

Proximal fibular fracture with rupture on the interosseous membrane “Maissoneuve” injury; associated with fracture of medial malleolus or rupture of deltoid ligament

Dislocated Patella

Fractured Patella Transverse vs Vertical vs Stellate

Extensor Mechanism Disruption Site typically varies with age

Cruciate Ligament Rupture “Partial” rupture very uncommon

Tibial Spine Avulsion

Meniscal Tears

Collateral Ligament Sprains/Tears Medial >> Lateral

Combination ACL-MCL-Medial Meniscus Tear “O’Donoghue’s triad”

Supracondylar fracture of femur

Fractured Shaft of Femur

Questions? Summary: Examine and document findings Joints above and below injury Neurovascular status Seek advice Senior ED medical staff Nurses ENPs Orthopaedic practitioners Specialty colleagues Radiographers Remember patient advice leaflets