Literature DB >> 27069430

Diagnostic Ultrasonography of an Ankle Fracture Undetectable by Conventional Radiography: A Case Report.

Clinton J Daniels1, Aaron B Welk2, Dennis E Enix3.   

Abstract

OBJECTIVE: The purpose of this study is to present diagnostic ultrasonography assessment of an occult fracture in a case of persistent lateral ankle pain. CLINICAL FEATURES: A 35-year-old woman presented to a chiropractic clinic with bruising, swelling, and pain along the distal fibula 3 days following an inversion ankle trauma. Prior radiographic examination at an urgent care facility was negative for fracture. Conservative care over the next week noted improvement in objective findings, but the pain persisted. INTERVENTION AND OUTCOME: Diagnostic ultrasonography was ordered to assess her persistent ankle pain and showed a minimally displaced fracture of the fibula 4 cm proximal to the lateral malleolus. The patient was referred to her primary care physician and successfully managed with conservative care.
CONCLUSION: In this case, diagnostic ultrasonography was able to identify a Danis-Weber subtype B1 fracture that was missed by plain film radiography.

Entities:  

Keywords:  Ankle fracture; Chiropractic; Diagnostic imaging; Diagnostic ultrasonography

Year:  2016        PMID: 27069430      PMCID: PMC4812024          DOI: 10.1016/j.jcm.2016.02.005

Source DB:  PubMed          Journal:  J Chiropr Med        ISSN: 1556-3707


  29 in total

1.  The value of mobilisation and non-steroidal anti-inflammatory analgesia in the management of inversion injuries of the ankle.

Authors:  P G McCulloch; P Holden; D J Robson; D I Rowley; S H Norris
Journal:  Br J Clin Pract       Date:  1985-02

2.  Sonography of occult rib and costal cartilage fractures: a case series.

Authors:  Ross Mattox; Kenneth E Reckelhoff; Aaron B Welk; Norman W Kettner
Journal:  J Chiropr Med       Date:  2014-06

Review 3.  Management of ankle sprains.

Authors:  M W Wolfe; T L Uhl; C G Mattacola; L C McCluskey
Journal:  Am Fam Physician       Date:  2001-01-01       Impact factor: 3.292

4.  Diagnosis and serial sonography of a proximal fifth metatarsal stress fracture.

Authors:  Patrick J Battaglia; Martha A Kaeser; Norman W Kettner
Journal:  J Chiropr Med       Date:  2013-09

5.  Ultrasound monitoring of fracture healing: is this the end of radiography in fracture follow-ups?

Authors:  Sourabh Chachan; Barsha Tudu; Biswajit Sahu
Journal:  J Orthop Trauma       Date:  2015-03       Impact factor: 2.512

Review 6.  Fractures of the ankle joint: investigation and treatment options.

Authors:  Hans Goost; Matthias D Wimmer; Alexej Barg; Kouroush Kabir; Victor Valderrabano; Christof Burger
Journal:  Dtsch Arztebl Int       Date:  2014-05-23       Impact factor: 5.594

Review 7.  What is the evidence for rest, ice, compression, and elevation therapy in the treatment of ankle sprains in adults?

Authors:  Michel P J van den Bekerom; Peter A A Struijs; Leendert Blankevoort; Lieke Welling; C Niek van Dijk; Gino M M J Kerkhoffs
Journal:  J Athl Train       Date:  2012 Jul-Aug       Impact factor: 2.860

Review 8.  Update on acute ankle sprains.

Authors:  Jeffrey D Tiemstra
Journal:  Am Fam Physician       Date:  2012-06-15       Impact factor: 3.292

Review 9.  Foot fractures frequently misdiagnosed as ankle sprains.

Authors:  Daniel B Judd; David H Kim
Journal:  Am Fam Physician       Date:  2002-09-01       Impact factor: 3.292

10.  A prospective, randomized study of the management of severe ankle fractures.

Authors:  W A Phillips; H S Schwartz; C S Keller; H R Woodward; W S Rudd; P G Spiegel; G S Laros
Journal:  J Bone Joint Surg Am       Date:  1985-01       Impact factor: 5.284

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