Lauge-Hansen’s classification, which was published in a issue of Archives of Surgery, has become one of the most widely used ankle. The Lauge-Hansen classification is a system of categorizing ankle fractures based on the foot position and the force applied. Classification, Description, Notes. Supination External Rotation, Most common mechanism (% of all fractures). 1, Anterior tibiofibular ligament rupture.

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According to the Danis-Weber classification, a Type A fracture occurs below the level of the tibial plafond and may be associated with oblique or vertical medial malleolar fractures [ 427 ], which correlates with the supination adduction pattern described by Lauge-Hansen Fig. Weber B This is a transsyndesmotic fracture with usually partial – and less commonly, total – rupture of the syndesmosis.

Genetic roentgenologic diagnosis of fractures of the ankle. This is an unstable fracture that needs surgical repair. According to Lauge-Hansen the fracture results from an adduction force on the supinated foot.

In what direction is the fibula most unstable? Please vote below and help us build the most advanced adaptive learning platform in medicine. The Danis-Weber classification appears to be an easier classification system for physician-to-physician communication owing to its simplicity; however, the Danis-Weber system completely overlooks the medial side of the ankle and has been shown to be a predictor of functional and radiographic outcomes only for unimalleolar ankle fractures [ 9 ].

Views Read Edit View history. A “simple” fracture of the lateral malleolus in a 50M C Trauma – Ankle Fractures HPI – Heavy weight injury 18 days ago, immediate pain, swelling ; diagnosed with left ankle fracture. Such methodology is not only imprecise but also fails to accurately recreate the in vivo forces experienced by a patient while sustaining an ankle fracture; namely the combination of axial load and rotational forces as the body moves relative to a foot planted on the ground.


Which radiograph Figures A-E would best correlate with this finding?

History Ankle fractures are common musculoskeletal injuries that occur in a bimodal distribution, with peaks in younger men and older women [ 2 ], the former related to high-energy trauma classifiication the latter to osteopenia and osteoporosis. Finally, in Stage 4, the medial malleolus was fractured or the deltoid ligament was injured [ 12 ].

This is a fracture above the level of the syndesmosis. A syndesmotic screw was inserted. Final report Weber C fracture stage 4.

Lauge-Hansen classification – Wikipedia

Which of the bone fragments labeled on the distal tibia in the axial CT scan shown in Figure A is attached to the posterior tibiofibular ligament? Please login to add comment.

Open reduction internal fixation of the fibula and medial malleolus with syndesmosis reduction and suture-button repair. Open reduction and internal fixation of the medial malleolus with syndesmosis reduction and classofication repair.

Lauge Hansen Classification of Ankle Fractures | UW Emergency Radiology

Lauge-Hansen classification of malleolar fractures: Some few general remarks on fractures and dislocations: Observer variation in the Lauge-Hansen oauge of ankle fractures: SER stage 4 Lauge-Hansen.

Knowing the stages of Lauge Hansen this must be a fracture. What is an advantage of using lateral neutralization plating instead of posterior antiglide plating? Supination – External rotation. Open reduction and internal fixation with restricted weight bearing for 12 weeks. Additional radiographs of the lower extremity were ordered and they demonstrate a high fibular fracture, i. Medial and Lateral Bimalleolar Fracture.


The Laugen Hansen classification of malleolar fractures. This clasification about Orthopedic surgery is a stub. You can help Wikipedia by expanding it. J Bone Joint Surg Br.

Supination adduction injuries occurred in eight experiments and consisted of two stages. Four hours later, he undergoes open reduction internal fixation.

Lauge Hansen Classification of Ankle Fractures

Despite its limitations, the Lauge-Hansen classification system continues to be one of the most widely used and accepted ankle fracture classification systems, and has enhanced our understanding of ankle fractures. The point that I want to make is, that when you understand the sequence of injuries to the ankle, then you know where to look for fractures and soft tissue swelling indicating ligamentous injury.

So this injury is probably a pronation exorotation injury Classofication stage 1 or higher. An evaluation of the Weber classification of ankle fractures. Weber B and C are more difficult and it is essential to understand the sequence of events in these injuries, which are both exorotation injuries.

Ankle Fractures

The attempted post reduction AP and lateral are shown in C and D. Re-examination On the ankle films there was no sign of an oblique fracture of the lateral malleolus, so we can exclude a Weber B fracture.

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