title: Isolated posterior malleolus fracture: a rare injury mechanism.
abstract: Sprain of the ankle is undoubtedly a common injury during athletic activity, and the sprain can be also associated with fracture of the ankle. Isolated posterior malleolus fracture is a very rare condition, which is usually missed. Here, we are presenting a 37 years old female patient, who suffered injury secondary pressing on brake pedal during collision in a traffic accident. Clinical evaluation is based on Ottawa Ankle Rules and a fracture is diagnosed; patient is started on daily activities at postoperative Week 8. This study aims to emphasize that Ottawa Ankle Rules are usually efficient for evaluating fractures of ankle, but clinicians should always make a detailed physical examination.
authors.affiliation: Department of Orthopaedics and Traumatology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey.
authors.forename: Sancar
authors.initials: S
authors.lastname: Serbest
authors.affiliation: Department of Orthopaedics and Traumatology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey.
authors.forename: Uğur
authors.initials: U
authors.lastname: Tiftikçi
authors.affiliation: Department of Orthopaedics and Traumatology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
authors.forename: Haci Bayram
authors.initials: HB
authors.lastname: Tosun
authors.affiliation: Anamed Private Hospital, Department of Orthopaedics and Traumatology, Mersin, Turkey.
authors.forename: Engin
authors.initials: E
authors.lastname: Kesgin
authors.affiliation: Beypazari State Hospital, Department of Orthopaedics and Traumatology, Ankara, Turkey.
authors.forename: Metin
authors.initials: M
authors.lastname: Karataş
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D016512:Ankle Injuries / Q000175:diagnosis*; D001863:Bone Screws; D057210:Delayed Diagnosis; D003951:Diagnostic Errors; D004630:Emergencies; D005188:False Negative Reactions; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D010808:Physical Examination; D017695:Soft Tissue Injuries / Q000175:diagnosis; D063189:Symptom Assessment; D013978:Tibial Fractures / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed
keywords: Ankle; Ankle sprain; Ottawa Ankle Rules; fracture; isolated; posterior malleolar fractures