Lateral Malleolus Fracture

Ankle – Malleolus fracture – Weber A – AP
The lateral malleolus tip is fractured
This is a ‘Weber A’ injury – distal to the ankle joint
Ankle – Malleolus fracture – Weber A – AP
The lateral malleolus tip is fractured
This is a ‘Weber A’ injury – distal to the ankle joint

A lateral malleolus fracture is one of the most common injuries found within the ED Fast Flow area. It is commonly a consequence of an inversion injury.

Treatment

Analgesia 

Below knee, plaster of paris backslab (plus advise card)

Crutches, ensuring non-weight bearing 

Virtual Fracture Clinic follow up (If this fracture is closed, orthopaedics don’t need to be involved at this stage) 

Advise elevation 

If elderly / unable to use crutches effectively, consider REACT

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