These criteria are used to determine the need for X-rays in patients presenting to the emergency department (ED) with traumatic ankle and/or foot injuries. Associated injuries: Examine the foot and knee.Įxamine the entire length of the fibula in patients with ankle pain to evaluate for a Maisonneuve fracture.Skin exam: Evaluate for laceration, tearing, and tenting.Examine motor and sensory function of the lower leg (see “ Sural nerve injury”, “ Tibial nerve injury”, and “ Peroneal nerve injury”).Assess dorsalis pedis and posterior tibial artery pulses and distal capillary refill time.Perform the following prior to imaging as abnormalities can affect urgent management (see “Approach” in “Treatment”): Maisonneuve fractures are considered Weber C fractures.
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