![]() A forceful impact, such as landing after a high jump or any impact to the outer aspect of the leg, can cause a fracture. How did I break my fibula?Ī fibula fracture is used to describe a break in the fibula bone. 62XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. What is a Weber B fracture ICD 10?ĭisplaced fracture of lateral malleolus of left fibula, initial encounter for closed fracture. With Weber B fractures, the stability of the ankle joint depends on injury to the tibiofibular ligaments and the deltoid ligament. It has a role in determining treatment.Īny bi- or trimalleolar fracture should be considered unstable because of the disruption of the bony architecture on both the medial and lateral side of the joint. The Weber ankle fracture classification (or Danis-Weber classification) is a simple system for classification of lateral malleolar fractures, relating to the level of the fracture in relation to the ankle joint, specifically the distal tibiofibular syndesmosis. What classification is associated with the ankle Weber? You will be given a special ankle support, which can be worn over your socks. Fortunately, your fracture is minor and does not require an operation or plaster cast to treat it successfully. ![]() To do this, emergency physicians need to employ stress radiographs to assess the stability of the ankle joint.A Weber A is a simple fracture to the bottom part of the fibula (bone on the outer part of your leg). 3 For this reason, assessing deltoid ligament integrity is of critical importance in determining the stability of an ankle fracture. 5Ĭlinical signs such as medial ankle pain, swelling, and ecchymosis are not reliable in identifying a deltoid ligament injury. 4 In what appears as an otherwise isolated Weber B fibular injury, a tear of the deltoid ligament can be considered “equivalent to a medial malleolar fracture,” qualifying the fracture mechanically as unstable, thus requiring operative management. A talar shift of 1 mm results in a 42 percent decrease in tibiotalar contact area, which can lead to significant increases in contact stress. The deltoid ligament, which runs from the medial malleolus to the calcaneus, talus, and navicular bones, plays a vital role in maintaining correct talus positioning. Any bi- or trimalleolar fracture should be considered unstable because of the disruption of the bony architecture on both the medial and lateral side of the joint. Unstable ankle fractures are one of the primary indications for orthopedic referral. In general, most stable ankle fractures can undergo nonoperative management by a primary care physician. The primary consideration regarding need for operative management of a closed ankle fracture is stability. ![]() The focus of this article is to help emergency physicians choose the proper method for determining that stability. 3 These type B fractures are sometimes stable, and patients can ambulate on them as tolerated in other cases, they are unstable and require open reduction and internal fixation (ORIF). Weber B fractures occur at the level of the tibiofibular ligaments, just above the talar dome, and happen primarily through a mechanism of ankle supination and external rotation (SER). Weber C fractures are almost always unstable and require surgical intervention. Weber C fractures are above the ankle joint and are associated with a syndesmotic injury. ![]() Injuries to the distal fibula, below the talar dome, are classified as type A and are stable fractures.
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