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Fracturas de tobillo: signos y Weber

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Fracturas de tobillo: signos y Weber

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Evaluación de sintomatología y criterios de Weber

Created by

Luis Fernando Acuña Alarcon
Luis Fernando Acuña Alarcon
Bolivia

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Fracturas de tobillo: signos y Weber
 

Fracturas de tobillo: signos y WeberOnline version

Evaluación de sintomatología y criterios de Weber

by Luis Fernando Acuña Alarcon
1

¿Qué signo típico de fractura de tobillo se observa a la palpación en los maleolos medial o lateral?

2

¿Qué sígno sugiere compromiso de la integridad ligamentaria en un tobillo fracturado?

3

En el criterio de Weber, ¿dónde se ubica la fractura en Weber A?

4

¿Qué caracteriza una fractura Weber B?

5

¿Qué indica una fractura Weber C?

6

¿Qué examen inicial es clave ante sospecha de fractura de tobillo?

7

¿Qué hallazgo aumenta la sospecha de lesión ósea en un tobillo fracturado?

8

¿Qué síntoma no es típico de fractura de tobillo?

Explicación

El dolor localizado es típico; otros signos no son definitorios de la fractura.

La hinchazón marcada sugiere lesión ligamentaria o intraarticular.

Weber A: fractura distal por debajo de la sindesmosis.

Weber B se asocia al nivel de la sindesmosis.

Weber C: por encima de la sindesmosis, con mayor inestabilidad.

Se inicia con clínica y radiografías para clasificar Weber.

El sonido como crujido a la palpación se llama crepito óseo y es característico de las fracturas.

El primer ortejo se refiere al primer dedo del pie.

 
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