Talk:Ankle fracture

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 1 March 2021 and 28 March 2021. Further details are available on the course page. Student editor(s): Patellaton. Peer reviewers: Kgnwa.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 17:20, 17 January 2022 (UTC)

UCSF Wikipedia Elective March 2021

Hi everyone! I am a 4th year medical student at UCSF, and I will be editing the ankle fracture page this month (March 2021) as part of a Wikipedia elective course. Looking forward to suggestions/thoughts on my proposed workplan to improve this page!

Work plan

General

• Avoid medical jargon where possible
• Use active voice where possible

Lead

• Clean up and re-organize existing content

Mechanism and Anatomy

• Add brief review section on mechanism of injury and relevant ankle anatomy (osteology, ligamentous restraints, neurovasculature)
• Include 1-2 clear drawings of ankle joint to illustrate

Diagnosis

• Add "physical examination" header before first section
• Add "imaging" header before XR
• Expand on XR section (specific views incl. AP, mortise, lateral)
• Discuss importance of assessing stability (stress view XRs)
• Add information on other imaging below XR section (ie when MRI/CT are indicated)
• Review fracture classification systems, focusing on Weber and Lauge-Hansen as the other two listed are not commonly used clinically
• Under fracture types, consider removing pilon fractures as these are typically thought of as separate entities from ankle fractures

Treatment

• Aim to have separate treatment options listed for separate fracture types (non-operative similar, difference in operative treatment)
• Separate section for open ankle fractures

Complications

• Add section on complications
• Include wound problems, deep infections, malunion, stiffness, post-traumatic arthritis

Epidemiology

• Move section up earlier in page
• Expand on currently limited section

References

• Use review articles from JAAOS, OTA, JBJS

Peer-Review of page for UCSF Wikipedia Elective March 2021

Greetings you all, I am also a 4th year medical student with the task of reviewing and providing feedback for User:Patellaton regarding their edits.

General

Really well done! I remember it being bare bones before you got started and it's looking so official now. It's well-organized, has tons of practicable information with a lot of great images and references that put everything into perspective. I appreciate your goal of limiting medical jargon and see you've been trying to do that and I have suggestions of further helping with that!

Specifics

Lead

Well-written and concise. Flows really well and is pithy. Initially I thought it had quite a bit of medical jargon but I see you tactfully made use of linking in other articles with hyperlinked words to define exactly what would need to be defined to understand the text to the layperson. Just some minor suggestions for changes: 1st sentence of the last paragraph, it’s more accurate to add “and/or” when listing the treatment because surgery would still need splinting/casting and an unfamiliar reader can walk away thinking it’s either of the 3 alone which isn’t the case. Also, in the last couple of sentences “however, [complete] recovery... [They] occur most commonly” In general, the word may was used quite often i..e. “Symptoms may include… Complications may include… The cause may include…” Might just be a minor stylistic thing but might be more assertive if you didn’t say may i.e. “Symptoms include… Complications include… Often caused by…”

Functional anatomy

Well-written! Consider defining distal for the layperson or using another word. Also, for the sentence when you 1st introduce plantarflexion and dorsiflexion, might want to rearrange and make use of the word “respectively” to define both terms with the text after the comma. Moving foot up and down might also be confused for bringing the whole foot up and down so consider describing another way like with pointing maybe? “Preventing the talus from externally rotating,” consider simplifying for the general public. “The deltoid ligament provides support to the [medial aspect <- decodify this] of the ankle.” Calcaneus misspelled in sentence before.

Signs and Symptoms

Well-written! End of last sentence, consider [in comparison] vs. [by comparison]. Last sentence in need of citation.

Diagnosis

Well-written! Consider adding more citations under x-ray.

Treatment

Well-written! Last sentence of 1st paragraph needs citation.

Epidemiology

Well-written! “Open fractures are rare, [composing] 2% of all ankle fractures. — Preceding unsigned comment added by Kgnwa (talk • contribs) 15:25, 22 March 2021 (UTC)

Response to peer review:

Thank you for taking the time to review my page, kgnwa!

Since your review, I have:

- re-written the lead for better flow - changed wording in the sections you mentioned to decrease medical jargon - added citations where necessary - removed some content on pediatric ankle fractures while making a new section for pediatric ankle fracture classification to improve organization

It's been great working together this month! — Preceding unsigned comment added by Patellaton (talk • contribs) 17:58, 24 March 2021 (UTC)