 Deltoid Ligaments  Fibula  Medial malleolus  Posterior malleolus

 1. Deformity  2. Swelling  3. Bruises 4. Antalgic gait

 1. Radiographs - External rotation stress radiograph Clear space >5mm 2. AP view - Lateral view - Oblique view

 Lauge-Hansen  Supination adduction  Supination – external rotation  Pronation – aduction  Pronation – external rotation

 A  B  C  Lateral malleolar

 Non-operative - short-leg walking cast/boot - <3mm displacement - <25% pasterior malleolar fracture - <2mm step-off

 O.R.I.F - Anatomic reduction

 Non-displaced plaster

 Displaced  O.R.I.F

 3mm displaced  O.R.I.F