Weber A, B &C
Patient presents with ankle pain over either the medial or lateral malleolus, following an injury to the ankle.
Clinical examination indicates X- Ray - see OTTOWA ankle rules.
Transverse Weber A frature to distal fibula seen on X- Ray
Orthopaedic foam stirrup ankle splint
patient wears their own shoes
Read through the Weber A Fracture leaflet and the ankle injury with the patient/ carer .
NO NPC
Discharge home with safetynet advice.
X-ray shows isolated Weber B fracture at the level of the tibiotalar ligaments just above the talar dome.
No other associated fractures to ankle
No displacement or instability to joint
Closed injury
- Place patient in a tall walking boot
- Crutches
- Able to weightbare as tollerated
- OFTEN score,
- VTE prophalaxis if required
- Give patient Weber B fracture advice leaflet
- RIPE advice
- Arrange NPC follow up in 10 days
Weber C/ open fracture
Weber C, open ankle fracture, talus displacement, medial malleolus fracture or other .
Discuss with On Call Trauma Reg bleep 1222 and treat as advised
Consider reduction in Resus discuss ED Cons and ED Nurse in Charge