Ankle Case 2 ED Management
Distal fibula fracture
Stability of these fractures depends on the location of the fracture in relation to the tibiotalar joint. Fractures distal to the joint line are less likely to disrupt other bony or ligamentous structures. If there is no associated medial tenderness, these patients may be placed in a posterior mold splint, made non-weight bearing, and follow-up with orthopedics in 1-2 weeks.
Injuries at or proximal to the tibiotalar joint are more likely to be unstable, and require further stability assessment. This can occur in the ED or at follow-up with orthopedics. These patients should also be splinted and made non-weight bearing upon discharge pending the evaluation by orthopedics.