1. Common Lower Limb Injuries in Adults Fraser J Gill August 2015

2. Phalangeal Fractures

3. Phalangeal Dislocation

4. Metatarsal Fractures

5. Fractured Base 5h Metatarsal

6. Fractured Base 5 th Metatarsal “Jones’ Fracture”

7. Tarsometatarsal Dissociation “Lisfranc Injury”

8. Lisfranc Injury

9. Talus Fracture High risk of avascular necrosis

10. Osteochondral Fracture of Talus

11. Calcaneus Fracture Associated Injuries?

12. Calcaneus Fracture

13. Ankle Sprains

15. Distal Fibula Fracture

16. Weber Classification of Distal Fibula Fractures

17. Medial Malleolus Fracture

18. Bimalleolar Ankle Fracture

19. Trimalleolar Ankle Fracture

20. Ankle Fracture-Dislocation Skin/Neurovascular Compromise

21. Intra-Articular Distal Tibial Fracture “Pilon” Fracture

22. Achilles Tendon Rupture

23. Gastrocnemius Tear

24. Tibia Shaft Fracture Transverse vs Spiral Consider Compartment Syndrome

25. Compartments of the Lower Leg

26. Tibial Plateau Fracture Consider oblique views +/- CT scan

27. Lipohaemarthrosis

28. Fibular Neck Fracture Assess common peroneal (fibular) nerve

29. Proximal fibular fracture with rupture on the interosseous membrane “Maissoneuve” injury; associated with fracture of medial malleolus or rupture of deltoid ligament

30. Dislocated Patella

31. Fractured Patella Transverse vs Vertical vs Stellate

32. Extensor Mechanism Disruption Site typically varies with age

33. Cruciate Ligament Rupture “Partial” rupture very uncommon

34. Tibial Spine Avulsion

35. Meniscal Tears

36. Collateral Ligament Sprains/Tears Medial >> Lateral

37. Combination ACL-MCL-Medial Meniscus Tear “O’Donoghue’s triad”

38. Supracondylar fracture of femur

39. Fractured Shaft of Femur

40. Questions? Summary: Examine and document findings Joints above and below injury Neurovascular status Seek advice Senior ED medical staff Nurses ENPs Orthopaedic practitioners Specialty colleagues Radiographers Remember patient advice leaflets