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December 1953

FRACTURES OF THE ANKLEV. Pronation-Dorsiflexion Fracture

Author Affiliations

From the Central Hospital.

AMA Arch Surg. 1953;67(6):813-820. doi:10.1001/archsurg.1953.01260040826004

IN REVIEWING the literature it is found that authors writing on clinical, experimental, and roentgenographic aspects found fractures which according to the operative findings (Lauenstein, Volkmann) and roentgenographic appearance (Meissner, Svend Hansen) had a fragment torn from the tibia anterolaterally or a large fragment torn off from the anterior lip of the tibia. By a closer study of the literature, it will be noticed that in reports on fractures with a large fragment torn from the anterior tibial lip, illustrated by roentgenograms in two planes,1 fracture in the base of the medial malleolus is invariably found2 (Fig. 1).

A review of the case records of these fractures demonstrates that the fractures are always produced by a fall on the foot from a considerable height (10 to 13 ft. [3 to 5m.], three or four stories).

According to the mechanism of fall, the foot will go into pronation by

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