Última revisão: 25 Out 2020
Última atualização: 01 Junho 2018

Resumo

Definição

História e exame físico

Principais fatores de diagnóstico

  • trauma recente
  • dor no tornozelo e edema
  • incapacidade para sustentar peso
  • edema do maléolo medial e/ou lateral e sensível à palpação

Outros fatores de diagnóstico

  • "estalo" ouvido na queda
  • deformidade do tornozelo
  • crepitação
  • sensibilidade da fíbula proximal
  • perda da elasticidade da pele sobre o maléolo medial
  • Regras de Ottawa para o tornozelo
  • história de osteoporose
  • história de quedas frequentes
  • comprometimento vascular

Fatores de risco

  • osteoporose
  • quedas múltiplas
  • queda de baixa energia
  • lesão por inversão no tornozelo
  • prática de esportes

Exames diagnósticos

Exames a serem considerados

  • radiografia simples "sob estresse"
  • tomografia computadorizada (TC)
  • RNM
Mais exames a serem considerados

Algoritmo de tratamento

Colaboradores

Resident

Orthopaedic Surgery

OLVG

Amsterdam

The Netherlands

Divulgações

ESV declares that he has no competing interests.

Consultant Orthopaedic Surgeon

Joint Research

Onze Lieve Vrouwe Gasthuis

Amsterdam

The Netherlands

Divulgações

RWP has been a member of the Dutch Orthopedic Association Committee, has received grants for the ZonMW ESCAPE trial, DART trial, Achmea Escape trial and Van Rens Fonds REDEP trial, and has contributed to the following educational events: the Waldemar Link hip course and the J&J hip course.

Dr Ewout S. Veltman and Dr Rudolf W. Poolman would like to gratefully acknowledge Dr Mohit Bhandari and Dr Brad Petrisor, previous contributors to this monograph, as well as Dr Victor A. van de Graaf and Dr Dirk P. ter Meulen for their assistance with the final draft. MB and BP declare that they have no competing interests.

Colegas revisoresMOSTRAR TODOS

Professor of Orthopaedic Surgery

Consultant Orthopaedic Surgeon

Edinburgh Orthopaedic Trauma Unit

Royal Infirmary of Edinburgh

Edinburgh

UK

Divulgações

CCB is an author of several references cited in this monograph.

Professor

University of Kentucky School of Medicine

President and Chief Executive Officer

American Board of Family Medicine

Lexington

KY

Divulgações

JCP declares that he has no competing interests.

Clinical Assistant Professor of Medicine

Robert Wood Johnson Medical School

University of Medicine and Dentistry of New Jersey

Piscataway

NJ

Divulgações

PHC declares that he has no competing interests.

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