engleski

Talocrural joint fractures

Objective - To determine the number of positive X-ray examinations of the ankle in the Emergency department in University Hospital \\"Dubrava\\", Zagreb, Croatia. Methods and materials - We have done a prospective survey on the Emergency department in University Hospital Dubrava, Zagreb, from 1 January 2007 to 31 December 2007. We have included radiographed patients with an acute ankle injury. Total of 1096 patients met the inclusion criteria. Results - 1096 patients were used for analysis of which 215 (19.62%) had fractures. No distinction between the clinically significant or insignificant fracture was made. Conclusion - Number of fractures (distal parts of tibia and fibula or the base of V metatarsal bone) is relatively low. Without the use of Ottawa ankle rules the rate of fractures is around 15%, and the use of the rules can reduce the radiographs by 28%. But the fear of malpractice suite increases the rate of radiographs.

Talocrural joint; radiology; fractures; Ottawa rules

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