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OrthoJOE

75. Are Stress Tests Needed for Ankle Fractures?

In this episode, Marc and Mo are discuss several studies from the literature focusing on the value of gravity stress tests following ankle fractures. Links: • Gregersen MG, Robinson HS, Molund M. Concomitant Unstable and Stable Gravity Stress Tests on Weight-Bearing Stable Weber B Ankle Fractures Treated Nonoperatively: A 2-Year Outcome Study. J Bone Joint Surg Am. 2023 Sep 20;105(18):1435-1441. doi: 10.2106/JBJS.23.00195. Epub 2023 Jul 28. PMID: 37498982. https://bit.ly/3ZI3hra • McConnell T, Creevy W, Tornetta P 3rd. Stress examination of supination external rotation-type fibular fractures. J Bone Joint Surg Am. 2004 Oct;86(10):2171-8. doi: 10.2106/00004623-200410000-00007. PMID: 15466725. https://bit.ly/3QeSrGh • Egol KA, Amirtharajah M, Tejwani NC, Capla EL, Koval KJ. Ankle stress test for predicting the need for surgical fixation of isolated fibular fractures. J Bone Joint Surg Am. 2004 Nov;86(11):2393-8. doi: 10.2106/00004623-200411000-00005. Erratum in: J Bone Joint Surg Am. 2005 Apr;87(4):857. Erratum in: J Bone Joint Surg Am. 2005 Jan;87-A(1):161. Amirtharage, Mohana [corrected to Amirtharajah, Mohana]. PMID: 15523008. https://bit.ly/3ZHROb8 Subspecialties: • Foot & Ankle • Trauma Keywords: Orthopaedics, orthopedics, JBJS, OrthoEvidence, ankle fracture, gravity stress test, ecchymosis, pain on palpation, Weber type-B fracture, AOFAS, early weight-bearing, radiographs

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