Potts fracture a potts fracture is a type of ankle fracture that is characterized by a break in one or more bony prominences on the sides of the ankle known as the malleoli. Potts fractures can vary in location, severity and type including displaced fractures, undisplaced fractures, bimalleolar fractures or compound fractures. Diabetics may sustain ankle fractures either as a result of. Between february 2011 and june 20, this prospective study was performed in 20 patients presented by bimalleolar potts fracture in diabetic patients with comminuted fracture of the lateral malleolus. Failed treatment of infection in diabetic patients with potts fracture can lead to amputation in 42% of the patients and mortality rate is 11%. A fracture is an interruption of the continuity of bone, this page will discuss ankle and foot fractures and the role that physiotherapists play in the rehabiliation of such injuries. Potts fracture definition, a fracture of the lower fibula and of the malleolus of the tibia, resulting in outward displacement of the foot. Also known as broken ankle, ankle fracture and malleolar fracture. Failed treatment of infection in diabetic patients with potts fracture can lead to. The lower leg comprises of 2 long bones, known as the tibia and the fibula, which are situated beside each other figure 1. The book applied fracture mechanics presents a collection of articles on application of fracture mechanics methods to materials science, medicine, and engineering. The injury is caused by a combined abduction external rotation from an eversion force. Pott fracture definition of pott fracture by medical.
Identifying a fracture and classifying the type of injury enables diagnosis of otherwise occult ligament injuries. Although the clinical history and images of tuberculosis with potts disease presented by weber and scherubl dec. The infection rates in diabetic patients undergoing open reduction and internal fixation of ankle fracture can be as high as 60%. The child responded to conservative treatment with antituberculous treatment and ultrasonographically guided percutaneous drainage of the abscesses. Occurs at the ankle and affects both bones of the lower leg.
Prior to becoming a free agent, she was an executive editor for aapc, editorinchief at eli research, and editor. Laugehansen classification of ankle fractures researchgate. Fractures of the ankle joint are common amongst adults. Potts fractures can vary in location, severity and type including displaced fractures. In this prospective study, 30 cases of pott s fractures of ankle were treated by different surgical method. Although the clinical history and images of tuberculosis with pott s disease presented by weber and scherubl dec. All information on kidshealth is for educational purposes only. The avoidance of soft tissue complications following. Highpressure liquid chromatographic studies confirmed the diagnosis of m. Potts fracture article about potts fracture by the. English physician percivall pott experienced this injury in 1765 and described. Thank you for your interest in spreading the word about the bmj.
Ankle is a three bone joint composed of the tibia, fibula an talus talus articulates with the tibial plafond superiorly, posterior malleolus of the tibia posteriorly and medial malleolus medially lateral articulation is with malleolus of fibula. Although educated to become a clergyman, he was apprenticed to become a surgeon at st. Ankle fractures usually affect young men and older women, however, below the age of 50. Posterior and anterior marginal fractures of the tibia occur not infrequently as. It can be difficult to distinguish clinically between a fracture and a moderate to severe ligament sprain. In venturing to call your attention to so common a fracture, it has been.
In fractures of the ankle in addition to fracture of the inner malleolus with separation of the fragments and fracture of the fibula with overlapping of the fragments, there is frequently backward displacement of the foot on the tibia. Potts fracture, also known as potts syndrome i and dupuytren fracture, is an archaic term loosely applied to a variety of bimalleolar ankle fractures. A high degree of suspicion and appropriate imaging studies are required for the early diagnosis of potts spine. The work is commenced, as in a bad sprain, by effleurage above the ankle, the injured part being gradually encroached on. Mycobacterium bovis bcg causing vertebral osteomyelitis. Vhile the western world has spent a hunclred or so years rapidly. It may be caused by trauma or due to a weakening of the vertebra due to osteoporosis, tumors, or infection. Pott s fractures can vary in location, severity and type including displaced fractures, undisplaced fractures, bimalleolar fractures or compound fractures. We describe a 4yearold boy with potts disease of the lumbar spine with bilateral psoas abscesses. Pott s fracture definition, a fracture of the lower fibula and of the malleolus of the tibia, resulting in outward displacement of the foot. A potts fracture often occurs in combination with other injuries such as an inversion. A potts fracture often occurs in combination with other injuries such as an inversion injury, a dislocation of the ankle or other fractures of the foot, ankle or lower leg. Ankle is a three bone joint composed of the tibia, fibula an talus talus articulates with the tibial plafond superiorly, posterior malleolus of the tibia posteriorly and medial malleolus medially lateral.
Chapter 27 principles of close,d reduction of fractures patt\ck haii, dpm introduction since the publications of sherman and lane in the eafly part of the last century, accelerated by the work of the ao group, the emphasis in american surgery and elsewhere has been on the open reduction of fractures with internal flration. The classic the chirurgical works of percivall pott, f. Article in european spine journal 1610 october 2007 with 8 reads how we measure reads. In this the lower end of the fibula is broken and there is dislocation of the foot outward. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Also known as broken ankle, ankle fracture and malleolar.
Pott fracture percivall pott was born on january 6, 1714 in london on the present site of the bank of england. Fracture involves only a portion of the crosssection of the bone. Pott s fracture, also known as pott s syndrome i and dupuytren fracture, is an archaic term loosely applied to a variety of bimalleolar ankle fractures. Immediate first aid consists of splinting the bone. A pott s fracture often occurs in combination with other injuries such as an inversion injury, a dislocation of the ankle or other fractures of the foot, ankle or lower leg. Ankle injuries are among the most common of the bone and joint injuries. Potts fracture definition and meaning collins english. Jefferson fracture both bone forearm fracture tibfib fracture jones fracture bennetts fracture straddle fracture. We report a case of mycobacterium bovis bcg vertebral osteomyelitis in a 79yearold man 2. This action strains the sturdy medial deltoid ligament of the ankle.
Max frye howard franklin jeffrey fiskin current revisions by glenn gers weinstock productions castle rock entertainment. Answer to the letter to the editor thoracolumbar fractures l. A fracture affecting one or more of the malleoli lateral, medial, posterior is known as a pott s fracture. Ankle fractures refer to fractures of the distal tibia, distal fibula, talus. Pott disease, also known as tuberculous spondylitis, is one of the oldest demonstrated diseases of humankind, having been documented in spinal remains from the iron age in europe and in ancient mummies from egypt and the pacific coast of south america. Ankle injuries play a major part in post multitrauma functional impairment thereby necessitating a detailed evaluation. Aug 08, 2019 pott disease, also known as tuberculous spondylitis, is one of the oldest demonstrated diseases of humankind, having been documented in spinal remains from the iron age in europe and in ancient mummies from egypt and the pacific coast of south america. Oct 20, 2016 potts fracture a potts fracture is a type of ankle fracture that is characterized by a break in one or more bony prominences on the sides of the ankle known as the malleoli. A rare, mirror image of the segond fracture has also been described.
Percival pott was the first person to present the classic description of spinal tuberculosis tb in 1779. Types of fractures medical terminology flashcards quizlet. They have a bimodal presentation, involving young males and older females. Full text full text is available as a scanned copy of the original print version. Both conditions may result from inversion injuries, with severe pain and varying degrees of swelling and disability. Principles of close,d reduction of fractures patt\ck haii, dpm introduction since the publications of sherman and lane in the eafly part of the last century, accelerated by the work of the ao group, the emphasis in american surgery and elsewhere has been on the open reduction of fractures with internal flration. Potts fracture article about potts fracture by the free. In the body of a man, who died not long since of this disorder, in its last and worst state, the bodies of three of the vertebr. Potts fracture definition of potts fracture by medical. Evolution and current applications of robotassisted fracture reduction. In thirteen chapters, a wide range of topics is discussed, including strength of biological tissues, safety of nuclear reactor components, fatigue effects in pipelines, environmental effects on fracture among others.
Pott disease tuberculous tb spondylitis differential. For specific medical advice, diagnoses, and treatment, consult your doctor. This action strains the sturdy medial deltoid ligament of the ankle, often tearing off the medial malleolus due to its strong attachment. Ankle fractures account for 10% of fractures encountered in trauma, preceded only in incidence by proximal femoral fractures in the lower limb. We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. Between february 2011 and june 20, this prospective study was performed in 20 patients presented by bimalleolar pott s fracture in diabetic patients with comminuted fracture of the lateral malleolus. Ankle fracture is one of the most common lower limb fractures for they account for 9% of all fractures representing a significant portion of the trauma workload. Magnetic resonance mr imaging provides more detailed information about the softtissue damage associated with ankle fractures. Ankle fractures pott s fracture a pott s fracture is a type of ankle fracture that is characterized by a break in one or more bony prominences on the sides o slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Most common mode of injury was pronation and external rotation injury accounts for 53. Bony injuries and fractures around the ankle joint are colloquially known as potts fractures. Download the pdf to view the article, as well as its associated figures and tables. Get a printable copy pdf file of the complete article 1. Fracture by dan pyne revisions by tom pabst glenn gers e.
Pott fracture definition of pott fracture by medical dictionary. The morbidity and mortality rate due to spinal tb is higher than other infections in developing. Prior to becoming a free agent, she was an executive editor for aapc, editor inchief at eli research, and editor at element k journals. Fractures and dislocations university of cincinnati. Ankle fractures potts fracture a potts fracture is a type of ankle fracture that is characterized by a break in one or more bony. A simple fracture is one in which there is no contact of the broken bone with the outer air, i. There are many types of fractures, but the main categories are complete, incomplete, open, closed and pathological. Pott disease, also known as tuberculous spondylitis, is one of the oldest demonstrated diseases of humankind, having been documented in spinal remains from the iron age in europe and in ancient mummies from egypt and the pacific coast of. He described a fracture of the fibula 2 to 3 inches above its tip associated with a tear of the deltoid ligament and lateral subluxation of the talus.
Apr 04, 2020 he described a fracture of the fibula 2 to 3 inches above its tip associated with a tear of the deltoid ligament and lateral subluxation of the talus. In 1779, percivall pott, for whom the disease is named, presented the classic description o. Max frye howard franklin jeffrey fiskin current revisions by glenn gers weinstock productions castle rock entertainment january 6, 2005. The socalled reverse segond fracture can occur after an avulsion fracture of the tibial component of the medial collateral ligament mcl in association with posterior cruciate ligament pcl and medial meniscal tears. He was immediately hit anteriorly and had a twisting and hyperextension injury to his knee with severe pain. Article information, pdf download for percival pott. Dick, bs, is a freelance content specialist, providing writing, editorial expertise, and graphic imagery to clients. Bartholomews hospital in 1729, and he became an assistant surgeon in 1745. The avoidance of soft tissue complications following treatment of. A fracture affecting one or more of the malleoli lateral, medial, posterior is known as a potts fracture. Segond fracture wikimili, the best wikipedia reader.
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