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Supination External Rotation
Hallmark:
- Spiral fracture of the fibula AT the level of the syndesmosis
Stage I
- Rupture of the anterior tibio-fibular ligament OR
- Avulsion of the tubercle of Chaput OR
- Wagstaff fracture
Stage II
- Spiral fracture of the fibula AT the level of the syndesmosis
Stage III
- Rupture of the posterior tibio-fibular ligament OR
- Fracture of the posterior malleolous
Stage IV
- Rupture of the deltoid ligament OR
- Fracture of the medial malleolous
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Chaput fracture
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CT-SCAN of a Chaput fracture
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Cannulated screw
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Small medial malleolar fracture
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Small posterior malleolar fracture
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Hanging screw technique
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Trimalleolar fracture
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Posterior malleolar fracture > 25%
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Anterior to posterior screws
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Widened mortise
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5-hole 1/3 tubular plate
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Fixation for Wagstaff fracture
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