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contentuptodate· Content· item f21_41_22164

©2013 UpToDate ® Print Email Ring scheme for ankle fractures The ankle can be conceived of as a ring of supporting structures surrounding the talus (picture A). If the ring is broken at one site (picture B), the injury is stable and can generally be managed nonoperatively. If the ring is broken at two or more sites (picture C), the injury is unstable and is managed operatively. Fractures or ligament ruptures constitute breaks in the ring.