Pott's fracture
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2008-06-22T12:38:24Z
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{{DiseaseDisorder infobox |
Name = Pott's fracture |
ICD10 = {{ICD10|S|82|6|s|80}} |
ICD9 = {{ICD9|824.4}}-{{ICD9|824.5}} |
}}
'''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.<ref>Hunter, T., Peltier, L.F. Lund, P. J. (2000). ''[http://radiographics.rsnajnls.org/cgi/content/full/20/3/819 Radiographics. 20:819-736]''.</ref> The injury is caused by a combined abduction external rotation from an eversion force. This action pulls on the extremely strong medial ligament, often tearing off the [[medial malleolus]]. The [[talus]] then moves laterally, shearing off the [[lateral malleolus]] or, more commonly, breaking the [[fibula]] superior to the tibiofibular [[syndesmosis]]. If the tibia is carried anteriorly, the posterior margin of the distal end of the tibia is also sheared off by the talus. <ref>Moore and Agur. Essential Clinical Anatomy. Lippincotts Williams and Wilkins. 2007</ref>
The bimalleolar fractures are less likely to be arthritic than [[trimalleolar fracture]]s.<ref name="pmid10901648">{{cite journal |author=Wilson FC |title=Fractures of the ankle: pathogenesis and treatment |journal=Journal of the Southern Orthopaedic Association |volume=9 |issue=2 |pages=105–15 |year=2000 |pmid=10901648 |doi= |url=http://www.medscape.com/viewpublication/137_toc?vol=9&iss=2}}</ref>
==History==
English physician [[Percivall Pott]] experienced this injury in [[1765]] and described his clinical findings in a paper published in [[1769]]. <ref>Pott, P. (1769). Some Few General Remarks on Fractures and Dislocations. London, Howes. Clarke. Collins.</ref><ref>{{WhoNamedIt|synd|1126}}</ref>
The term "Dupuytren fracture" refers to the same mechanism,<ref name="pmid8318982">{{cite journal |author=Sartoris DJ |title=Eponymic fractures of the ankle |journal=The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons |volume=32 |issue=2 |pages=239–41 |year=1993 |pmid=8318982 |doi=}}</ref> and it is named for [[Guillaume Dupuytren]].<ref>Dupuytren, G. (1819). Mémoire sur la fracture de l’extremité inferieure du peroné, les luxations et les accidents qui en sont la suite. ''Ann med.-chir Hôp''. Paris, 1: 2-212.</ref>
==References==
<references/>
==External links==
* {{GPnotebook|1007026241}}
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{{Fractures}}