Ankle Fracture Glossary of Terms

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Acute: Of abrupt onset, in reference to a disease. Acute often also connotes an illness that is of short duration, rapidly progressive, and in need of urgent care.
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Ankle: The ankle joint is complex. It is made up of two joints: the true ankle joint and the subtalar joint:
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Ankle joint: The ankle joint is complex. It is made up of two joints: the true ankle joint and the subtalar joint:

• The true ankle joint is composed of 3 bones: the tibia which forms the medial (inside) portion of the ankle; the fibula which forms the lateral (outside) portion of the ankle; and the talus underneath. The true ankle joint is responsible for the up-and-down motion of the foot.
• The subtalar joint is under the true ankle joint and consists of the talus on top and calcaneus on the bottom. The subtalar joint is responsible for the side-to-side motion of the foot.

Ankle pain: Pain in the ankle, a "hinged" joint. Ankle pain is commonly due to a sprain or tendinitis. The severity of ankle sprains ranges from mild (which can resolve within 24 hours) to severe (which can require surgical repair). Tendinitis of the ankle can be caused by trauma or inflammatory forms of arthritis.
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Ankle sprain: A common musculoskeletal injury in which the ligaments of the ankle partially or completely tear due to sudden stretching. This typically occurs when the ankle is suddenly "twisted" in a sports activity or by stepping off an uneven surface. The pain is initially severe and can be associated with a "popping" sensation. Immediate swelling over the area of injury often occurs as the injured blood vessels leak fluid into the local tissue. Partial tears retain some ankle stability, whereas complete tears lose stability because the strapping ligaments no longer brace the ankle joint.
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Anterior: The front, as opposed to the posterior. The anterior surface of the heart is toward the breast bone (the sternum).
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Arthritis: Inflammation of a joint. When joints are inflamed they can develop stiffness, warmth, swelling, redness and pain. There are over 100 types of arthritis. (see osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus, gout, pseudogout).

Calcaneus: The calcaneus is the heel bone. It is also called the os calcis. The calcaneus is a more or less rectangular bone at the back of the foot.
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Capsule: Capsule has many meanings in medicine including the following:

1. In medicine, a membranous structure that envelops an organ, a joint, tumor, or any other part of the body. It is usually made up of dense collagen-containing connective tissue.
2. In pharmacy, a solid dosage form in which the drug is enclosed in a hard or soft soluble container, usually of a form of gelatin.
3. In microbiology, a coat around a microbe, such as a bacterium or fungus.

Cast: 1) A protective shell of fiberglass, plastic, or plaster, and bandage that is molded to protect broken or fractured limb(s) as it heals. 2) An abnormal mass of dead cells that forms in a body cavity. For example, cases of cells that form in the tubules of the kidneys are sometimes detected in urine samples.

Compound fracture: A fracture in which the bone is sticking through the skin. Also called an open fracture.
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Cuts: Severed skin. Washing a cut or scrape with soap and water and keeping it clean and dry is all that is required to care for most wounds. Putting alcohol hydrogen peroxide, and iodine into a wound can delay healing and should be avoided. Seek medical care early if you think that you might need stitches. Any delay can increase the rate of wound infection. Any puncture wound through tennis shoes has a high risk of infection and should be seen by your healthcare professional. Any redness, swelling, increased pain, or pus draining from the wound may indicate an infection that requires professional care.

Diagnosis: 1 The nature of a disease; the identification of an illness. 2 A conclusion or decision reached by diagnosis. The diagnosis is rabies. 3 The identification of any problem. The diagnosis was a plugged IV.
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Emergency department: The department of a hospital responsible for the provision of medical and surgical care to patients arriving at the hospital in need of immediate care. Emergency department personnel may also respond to certain situations within the hospital such cardiac arrests.
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Fibula: The lateral (outside) and smaller of the two long bones in the lower leg between the knee and ankle. (The other bone in the lower leg is the tibia.)
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Fracture: A break in bone or cartilage. Although usually the result of trauma, a fracture can be caused by an acquired disease of bone such as osteoporosis or by abnormal formation of bone in a disease such as osteogenesis imperfecta ("brittle bone disease"). Fractures are classified according to their character and location as, for example, a greenstick fracture of the radius.
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Hemarthrosis: Blood in a joint.

Ibuprofen: A non-steroidal anti-inflammatory drug (NSAID) commonly used to treat pain, swelling, and fever. Common brand names for Ibuprofen include Advil, Motrin, and Nuprin.

Inflammation: A basic way in which the body reacts to infection, irritation or other injury, the key feature being redness, warmth, swelling and pain. Inflammation is now recognized as a type of nonspecific immune response.
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Injure: To harm, hurt, or wound. The word injure may be in physical or emotional sense. Treadmill machines may injure anyone who gets on one. Sexual molestation injures children. From the Latin injuria meaning injury.

Injury: Harm or hurt. The term "injury" may be applied in medicine to damage inflicted upon oneself as in a hamstring injury or by an external agent on as in a cold injury. The injury may be accidental or deliberate, as with a needlestick injury. The term "injury" may be synonymous (depending on the context) with a wound or with trauma.

Joint: A joint is the area where two bones are attached for the purpose of motion of body parts. A joint is usually formed of fibrous connective tissue and cartilage. An articulation or an arthrosis is the same as a joint.
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Knee: The knee is a joint which has three parts. The thigh bone (the femur) meets the large shin bone (the tibia) to form the main knee joint. This joint has an inner (medial) and an outer (lateral) compartment. The kneecap (the patella) joins the femur to form a third joint, called the patellofemoral joint. The patella protects the front of the knee joint.
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Lateral: 1. In anatomy, the side of the body or a body part that is farther from the middle or center of the body. Typically, lateral refers to the outer side of the body part, but it is also used to refer to the side of a body part. For example, when referring to the knee, lateral refers to the side of the knee farthest from the opposite knee. The opposite of lateral is medial.
2. In radiology, slang for a lateral X-ray.
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Leg: In popular usage, the leg extends from the top of the thigh down to the foot. However, in medical terminology, the leg refers to the portion of the lower extremity from the knee to the ankle.
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Ligament: A ligament is a tough band of connective tissue that connects various structures such as two bones.
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Lower leg: The lower leg is the bottom segment of the leg: the part below the knee.
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Malleolus: Bony prominence on either side of the ankle.

Medial: 1. Pertaining to the middle; in or toward the middle; nearer the middle of the body. Medial is as opposed to lateral. For example, the medial side of the knee is the side closest to the other knee whereas the lateral side of the knee is the outside of the knee.
2. Within a multilayered structure, the center layer. The medial layer of the aorta is the middle layer. For example, necrosis of the medial layer of the aorta may lead to aortic rupture.
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Membrane: A very thin layer of tissue that covers a surface.

Numb: Numb, or numbness is a loss of the sensation of feeling in an area of the body. Numbness results from damage to, or impaired function of, the nerves that supply the affected area. The function of the nerves may be impaired by numerous causes including some chronic diseases (diabetes mellitus, thyroid disease, migraine), trauma, toxins, decreased blood supply due to atherosclerosis or other conditions, electrolyte imbalances, and pressure on the spinal nerves from herniated discs or other diseases of the spine.

Operation: Although there are many meanings to the word "operation", in medicine it refers to a surgical procedure.
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Orthopedist: An orthopaedic surgeon, orthopaedics being the branch of surgery broadly concerned with the skeletal system (bones). Orthopedics is how this field of surgery is listed under Physicians & Surgeons in the telephone Yellow Pages in Jacksonville, Florida. This spelling is quite common today. But it is incorrect, erroneous, flat out wrong. Orthopedics would relate the term to the foot because in Latin pedis means foot. Orthopaedics is not merely old-fashioned. It is the correct spelling. What was meant by the term orthopaedics when it was devised goes back to its roots: ortho-, straight + the Greek paes, child = the practice, literally, of straightening the child. If the child had a crooked spine (scoliosis), it was the job of the orthopaedist to straighten the child, not just the child's foot. That is why there is no American Academy of Orthopedic Surgery but there is an American Academy of Orthopaedic Surgery. And that is also why orthopaedists look after broken bones.

Pain: An unpleasant sensation that can range from mild, localized discomfort to agony. Pain has both physical and emotional components. The physical part of pain results from nerve stimulation. Pain may be contained to a discrete area, as in an injury, or it can be more diffuse, as in disorders like fibromyalgia. Pain is mediated by specific nerve fibers that carry the pain impulses to the brain where their conscious appreciation may be modified by many factors.
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Physical therapy: A branch of rehabilitative health that uses specially designed exercises and equipment to help patients regain or improve their physical abilities. Physical therapists work with many types of patients, from infants born with musculoskeletal birth defects, to adults suffering from sciatica or the after- effects of injury, to elderly post-stroke patients.

Posterior: The back or behind, as opposed to the anterior.
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Primary care: The "medical home" for a patient, ideally providing continuity and integration of health care. All family physicians and most pediatricians and internists are in primary care. The aims of primary care are to provide the patient with a broad spectrum of care, both preventive and curative, over a period of time and to coordinate all of the care the patient receives.

Pulse: The rhythmic contraction and expansion of an artery due to the surge of blood from the beat of the heart. The pulse is most often measured by feeling the arteries of the wrist. There is also a pulse, although far weaker, in veins.

Range of motion: The range through which a joint can be moved, usually its range of flexion and extension. Due to an injury, the knee may for example lack 10 degrees of full extension.

Rehabilitation: The process of restoration of skills by a person who has had an illness or injury so as to regain maximum self-sufficiency and function in a normal or as near normal manner as possible. For example, rehabilitation after a stroke may help the patient walk again and speak clearly again.
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Sensation: In medicine and physiology, sensation refers to the registration of an incoming (afferent) nerve impulse in that part of the brain called the sensorium, which is capable of such perception. Therefore, the awareness of a stimulus as a result of its perception by sensory receptors. (Sensory is here synonymous with sensation.)
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Shin: 1. The tibia, the larger of the two bones in the lower leg.
2. The anterior aspect (front) of the tibia.

Sprain: An injury to a ligament that results from overuse or trauma. Sprains occurs when there is a stretch or tear in one or more ligaments, slightly elastic bands of tissue that keep the bones in place while permitting movement at a joint. The treatment of a sprain involves applying ice packs, resting and elevating the involved joint, and using anti-inflammatory medications. Depending on the severity and location of the sprain, support bracing can help. Local cortisone injections are sometimes given for persistent inflammation. Activity may be resumed gradually. Ice application after activity can reduce or prevent recurrent inflammation. Occasionally, supportive bracing can prevent reinjury. In severe sprains, orthopedic surgical repair may be performed.

Sprained ankle: See: Ankle sprain.

Surgeon: A physician who treats disease, injury, or deformity by operative or manual methods. A medical doctor specialized in the removal of organs, masses and tumors and in doing other procedures using a knife (scalpel). The definition of a "surgeon" has begun to blur in recent years as surgeons have begun to minimize the cutting, employ new technologies that are "minimally invasive," use scopes, etc.
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Surgery: The word "surgery" has multiple meanings. It is the branch of medicine concerned with diseases and conditions which require or are amenable to operative procedures. Surgery is the work done by a surgeon. By analogy, the work of an editor wielding his pen as a scalpel is s form of surgery. A surgery in England (and some other countries) is a physician's or dentist's office.
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Synovial fluid: The slippery fluid that lubricates joints and provides nutrients to the cartilage. Also known as the synovia.

Talus: The ankle bone. The ankle joint is formed by the talus and the bottom of the tibia and fibula that rest upon it. The Latin word "talus" means ankle and in medicine it can refer to the entire ankle, too.

Tear: A drop of the salty secretion of the lacrimal glands which serves to moisten the conjunctiva and cornea.

Tendon: The tissue by which a muscle attaches to bone. A tendon is somewhat flexible, but fibrous and tough. When a tendon becomes inflamed, the condition is referred to as tendinitis or tendonitis. Inflamed tendons are at risk for rupture.
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Therapy: The treatment of disease.
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Tibia: The larger of the two bones in the leg (the smaller one being the fibula). The tibia is familiarly known as the shinbone.
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Vascular: Relating to the blood vessels of the body. The blood vessels of the body, as a group, are referred to as the vascular system.
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X-ray: 1. High-energy radiation with waves shorter than those of visible light. X-rays possess the properties of penetrating most substances (to varying extents), of acting on a photographic film or plate (permitting radiography), and of causing a fluorescent screen to give off light (permitting fluoroscopy). In low doses X-rays are used for making images that help to diagnose disease, and in high doses to treat cancer. Formerly called a Roentgen ray. 2. An image obtained by means of X-rays.