Ankle Fractures and Sprains

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Ankle Fractures and Sprains

Progression

  • When did disease process start
  • Initial versus subsequent

Location

  • Right, left or bilateral

Acuity

  • N/A

Name

  • Open or closed
  • Include whether it is the medial or lateral malleolus
  • Clarify if fracture is bimalleolar or trimalleolar, displaced, nondisplaced
  • Open fracture only, specify Type I, II, IIIA, IIIB, IIIC
  • Ankle sprain documentation requires the ligament
  • Type-calcaneofibular, deltoid, tibiofibular ligament

Necessary Procedures

  • ORIF, CRIF
  • External fixation (specify type)

Other

  • N/A

Why

  • Any known causes or underlying conditions, comorbidities, associated problems, abnormal vitals, underdosing of medications, hemorrhage, change in medications, smoking, etc.