Danis–Weber classification

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Danis-Weber-fracture-classification
Danis-Weber-fracture-classification


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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2].

Overview[1][2]

The Danis–Weber classification was first described by Robert Danis (1880-1962), a Belgian general surgeon, in 1949. It was modified by Bernhard Georg Weber (1929-2002), a Swiss orthopedic surgeon, in 1972.

Danis–Weber classification

Weber ankle fracture classification (or Danis-Weber classification)
Type
A
  • Usually transverse
  • Under the level of the talar dome
  • Tibiofibular syndesmosis is intact
  • Deltoid ligament is intact
  • Medial malleolus maybe affected
  • Usually stable if medial malleolus intact
  • Stage 1 - Tension on the lateral collateral ligaments cause

the rupture of the ligaments

or

avulsion of the lateral malleolus below the syndesmosis.

  • Stage 2 - Oblique fracture of the medial malleolus.
Ankle-fracture-weber A
Ankle-fracture-weber A
B
  • Usually spiral
  • Distal extent at the level of the talar dome
  • Tibiofibular syndesmosis usually is intact
  • Deltoid ligament may be injured
  • Medial malleolus maybe fractured
  • Variable stability dependening on the medial structures
  • May require ORIF
  • Stage 1 - Rupture of the anterior syndesmosis
  • Stage 2 - Oblique fracture of the fibula (the true Weber B fracture)
  • Stage 3 - Rupture of the posterior syndesmosis or - fracture of the posterior malleolus
  • Stage 4 - Avulsion of the medial malleolus or - rupture of the medial collateral bands
Ankle-fracture-weber-B
Ankle-fracture-weber-B
C
  • Above the level of the ankle joint
  • Tibiofibular syndesmosis is injured
  • Deltoid ligament is injured
  • Medial malleolus maybe fractured
  • Fracture may arise as proximally as the level of fibular neck and not visualized on ankle films, requiring knee or full-length tibia-fibula radiographs (Maisonneuve fracture)
  • Unstable:
  • Usually requires ORIF
    • Stage 1 - Avulsion of the medial malleolus or - ligamentous rupture
    • Stage 2 - Rupture of the anterior syndesmosis
    • Stage 3 - Fibula fracture above the level of the syndesmosis (this is the true Weber C fracture)
    • Stage 4 - Avulsion of the posterior malleolus or - rupture of the posterior syndesmosis
Ankle-fracture-weber-C
Ankle-fracture-weber-C

See also


Template:Fractures


Template:WikiDoc Sources

References

  1. Juto H, Möller M, Wennergren D, Edin K, Apelqvist I, Morberg P (November 2016). "Substantial accuracy of fracture classification in the Swedish Fracture Register: Evaluation of AO/OTA-classification in 152 ankle fractures". Injury. 47 (11): 2579–2583. doi:10.1016/j.injury.2016.05.028. PMID 27645617.
  2. Boszczyk A, Fudalej M, Kwapisz S, Klimek U, Maksymowicz M, Kordasiewicz B, Rammelt S (January 2018). "Ankle fracture - Correlation of Lauge-Hansen classification and patient reported fracture mechanism". Forensic Sci. Int. 282: 94–100. doi:10.1016/j.forsciint.2017.11.023. PMID 29182957.