Orthonotes
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Ankle Fractures — Lauge-Hansen

Classification based on position of foot + force direction. Common: Supination-External Rotation (SER), Supination-Adduction (SA), Pronation-Abduction (PA), Pronation-External Rotation (PER). Each mechanism has progressive stages of injury (ligament/osseous). Guides mechanism-based diagnosis and fixation strategy. Supination-External Rotation = most common ankle injury.

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Classification based on position of foot + force direction. Common: Supination-External Rotation (SER), Supination-Adduction (SA), Pronation-Abduction (PA), Pronation-External Rotation (PER). Each mechanism has progressive stages of injury (ligament/osseous). Guides mechanism-based diagnosis and fixation strategy. Supination-External Rotation = most common ankle injury.
MCQs

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Question 1

Which of the following is the most common mechanism of ankle fracture according to the Lauge-Hansen classification?

Question 2

What is the first stage of injury in a Supination-External Rotation ankle fracture?

Question 3

Which radiographic view is essential to assess the integrity of the ankle mortise?

Question 4

In the Lauge-Hansen classification, what does the term 'supination' refer to?

Question 5

What is the typical treatment for a stable ankle fracture without significant displacement?

Question 6

Which ligament is primarily affected in a Supination-Adduction ankle injury?

Question 7

What type of fracture is associated with the fourth stage of injury in a Supination-External Rotation mechanism?

Question 8

How is a Pronation-External Rotation (PER) injury characterized?

Question 9

In assessing an ankle fracture, which clinical feature is most indicative of a syndesmotic injury?

Question 10

What is the primary goal of treatment for an unstable ankle fracture?