2011Macedonian Journal of Medical SciencesOpen access

Fractures of Joint Ankle

Nermin A. Abdić, Zoran Golubović, Stojanka Arsić, Miomir Pešić

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Abstract

Joint ankle represents one of the most complicated anatomic-functional structures of locomotoric apparatus. Upper joint ankle (talocruralis) bind low tip-end of shank (tibia) and fibula with joint bone (talus) and represent joint among the bones of shank and foot bones. Upper joint ankle joint together with lower ankle joint acts like functional, anatomical and clinical entity not only in physiological conditions but as well in injuries. These injuries cause not only damages of bone structure but also of ligaments and soft structures. Fractures of maleolus as the most frequent of low extremities represent 10-12% of all fractures. As the most frequent mechanism of injury of joint ankle the inversion of foot is stated when it is in supination and adduction. This analysis had 151 patient who had joint ankle fracture both sexes, age 18-45, and among them there were 102 men (67.55%) and 49 women (32.45%). The patients whose diagnosis was joint ankle fracture were observed in Orthopedic - Casualty ward of Clinical Centre in Podgorica. The research period was May 2005-May 2009. The results of our research show that the most frequently fractures of joint ankle happened while running 52 patients (34.44%) and the least by fall from the height 22 (14.57%). The most frequent fracture type was SE type 48 (31.79%) and the least PA type 25 (16.56%).

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What this paper is about

Joint ankle represents one of the most complicated anatomic-functional structures of locomotoric apparatus. Upper joint ankle (talocruralis) bind low tip-end of shank (tibia) and fibula with joint bone (talus) and represent joint among the bones of shank and foot bones. Upper joint ankle joint together with lower ankle joint acts like functional, anatomical and clinical entity not only in physiological conditions but as well in injuries. These injuries cause not only damages of bone structure but also of ligaments and soft structures. Fractures of maleolus as the most frequent of low extremities represent 10-12% of all fractures. As the most frequent mechanism of injury of joint ankle the inversion of foot is stated when it is in supination and adduction. This analysis had 151 patient who had joint ankle fracture both sexes, age 18-45, and among them there were 102 men (67.55%) and 49 women (32.45%). The patients whose diagnosis was joint ankle fracture were observed in Orthopedic - Casualty ward of Clinical Centre in Podgorica. The research period was May 2005-May 2009. The results of our research show that the most frequently fractures of joint ankle happened while running 52 patients (34.44%) and the least by fall from the height 22 (14.57%). The most frequent fracture type was SE type 48 (31.79%) and the least PA type 25 (16.56%).

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Available abstract

Joint ankle represents one of the most complicated anatomic-functional structures of locomotoric apparatus. Upper joint ankle (talocruralis) bind low tip-end of shank (tibia) and fibula with joint bone (talus) and represent joint among the bones of shank and foot bones. Upper joint ankle joint together with lower ankle joint acts like functional, anatomical and clinical entity not only in physiological conditions but as well in injuries. These injuries cause not only damages of bone structure but also of ligaments and soft structures. Fractures of maleolus as the most frequent of low extremities represent 10-12% of all fractures. As the most frequent mechanism of injury of joint ankle the inversion of foot is stated when it is in supination and adduction. This analysis had 151 patient who had joint ankle fracture both sexes, age 18-45, and among them there were 102 men (67.55%) and 49 women (32.45%). The patients whose diagnosis was joint ankle fracture were observed in Orthopedic - Casualty ward of Clinical Centre in Podgorica. The research period was May 2005-May 2009. The results of our research show that the most frequently fractures of joint ankle happened while running 52 patients (34.44%) and the least by fall from the height 22 (14.57%). The most frequent fracture type was SE type 48 (31.79%) and the least PA type 25 (16.56%).

Key concepts: Medicine, Ankle, Joint (building), Orthodontics, Surgery, Civil engineering, Engineering

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