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Fracture lateral malleolus kan
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lateral malleolus fracture ankle radiograph mortise stability guidelines
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ankle fracture management
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Ya, pada X-ray ini nampak garis patah oblique pada hujung distal fibula, iaitu lateral malleolus kanan. Ia kelihatan minimal atau tidak banyak berganjak, tetapi penilaian penuh perlu dibuat oleh doktor ortopedik menggunakan pandangan mortise yang baik atau X-ray weight-bearing untuk pastikan sendi buku lali dan syndesmosis stabil.
Apa yang penting:
- Jika ankle mortise stabil dan tiada kecederaan bahagian medial, banyak patah lateral malleolus boleh dirawat dengan boot/cast, kawalan sakit, dan susulan X-ray.
- Jika ada pergeseran tulang, ruang sendi melebar, sakit atau bengkak kuat di bahagian dalam buku lali, atau ketidakstabilan, mungkin perlu rawatan lebih lanjut termasuk pembedahan. AAOS ankle-fracture guidance
- Jangan pijak dahulu sehingga diperiksa, gunakan tongkat jika ada, tinggikan kaki, dan tuam ais berlapik 15-20 minit.
Pergi kecemasan segera jika jari kaki kebas/biru/sejuk, sakit semakin teruk, kulit tegang, atau bentuk buku lali berubah.
Make simple referral letter for this. Patient alleged hit by vehicle at rt foot, sustained pain and swelling at right ankle
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ankle fracture referral emergency department evaluation guidelines
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ankle fracture management
To: Orthopaedic / Emergency Department
Date: 07/09/2026
Date: 07/09/2026
Re: [Patient Name / NRIC / Age]
Dear Doctor,
Kindly assess this patient who alleged to have been hit by a vehicle over the right foot. Following the incident, the patient developed pain and swelling over the right ankle.
Right ankle radiographs were performed and are suspicious for a right distal fibula (lateral malleolus) fracture. Please assess fracture stability, ankle mortise alignment, neurovascular status, and advise on definitive management.
Thank you.
Yours sincerely,
[Doctor’s Name]
[Clinic / Hospital]
[Contact No.]
[Doctor’s Name]
[Clinic / Hospital]
[Contact No.]
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