Essex-Lopresti Classification
Extra-Articular (25%)
Posterior tuberosity avulsion
Anterior Process fracture
Body fracture
Sustentaculum Tali
Tuberosity fractures
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Body fractures
Non operative treatment
Anterior process
Part of complex sprain
Management
Small
- non operative
- excise later if painful
Large and displaced
- ORIF
Sustentacular fractures
ORIF if displaced
Medial approach with buttress plate