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A 25 -Year-Old Man Was Running Across a Field When

Question 15

Multiple Choice

A 25 -year-old man was running across a field when he caught his right foot in a rabbit hole. As he fell, the right foot was violently rotated laterally and overeverted. On attempting to stand, he could place no weight on his right foot. On examination by a physician, the right ankle was considerably swollen, especially on the lateral side. After further examination, including a radiograph of the ankle, a diagnosis of severe fracture dislocation of the ankle joint was made.
-The following statements concerning this patient are correct except which?


A) This type of fracture dislocation is caused by forced external rotation and overeversion of the foot.
B) The talus is externally rotated against the lateral malleolus of the fibula, causing it to fracture.
C) The torsion effect on the lateral malleolus produces a spiral fracture.
D) The medial ligament of the ankle joint is strong and never ruptures.
E) If the talus is forced to move farther laterally and continues to rotate, the posterior inferior margin of the tibia will be sheared off.

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