![]() ![]() For example, we show more objects and particles at longer distances and greater detail. “Higher-end PC settings also activate on higher-quality versions of many of our core rendering features. “Of course this will also make sure your draw distances are longer, texture streaming is fast and generally the game will be insane to look at. Irrational Games is known for all the detail we put into our worlds and the higher detail settings available on PC give us even more to work with,” he explained to IGN. This really stands out when you play on the higher detail settings and higher resolutions that the PC allows. “The PC version ships on three discs, as opposed to one for consoles, to accommodate the higher-resolution content we provide for the PC. He believes that the game will stand on it’s own when played at max. He also revealed that the PC version will ship on 3 discs since it will consist of high resolution assets. As you go up from there to the High, Very High, and Ultra settings the difference is enormous,” he said. “Playing the PC version on Medium settings is fairly close to the console version, though higher quality in a few areas. So how will Bioshock Infinite on the consoles will hold up against Bioshock Infinite on the PC. Technical director at Irrational Chris Kline explains us that the medium setting of the PC version will be much like the console version. But technology wise, PC gaming is on the rise and admit it or not, our seven year old consoles are seriously lagging behind. The first Bioshock was a sight to behold, so Bioshock Infinite will be no different. PlayStation®Move features require PlayStation®Move motion controller and PlayStation®Eye (sold separately).There is no doubt that Irrational Games develop visually appealing games. The makers and publishers of this videogame do not in any way endorse, condone or encourage engaging in any conduct depicted in this videogame. The content of this videogame is fictional and is not intended to represent or depict an actual record of the events, persons, locations, or entities in the game’s setting. All other marks are property of their respective owners. Take-Two Interactive Software, Inc., 2K, 2K Games, Irrational Games, BioShock, and BioShock Infinite, and their respective logos are trademarks of Take-Two Interactive Software, Inc. © 2002-2013 Take-Two Interactive Software, Inc. Online activity subject to Terms of Services and User Agreement (One time license fee entitles play on up to 2 PlayStation® 3 systems activated by this account. Software subject to license (us./softwarelicense). ![]() PlayStation®Move navigation controller or Wireless Controller optional. ![]() PlayStation®Move motion controller and PlayStation®Eye camera optional Together, they learn to harness an expanding arsenal of weapons and abilities, as they fight on zeppelins in the clouds, along high-speed Sky-Lines, and down in the streets of Columbia, all while surviving the threats of the air-city and uncovering its dark secret. Forced to trust one another, Booker and Elizabeth form a powerful bond during their daring escape. He must rescue Elizabeth, a mysterious girl imprisoned since childhood and locked up in the flying city of Columbia. Cavalry and now hired gun, Booker DeWitt has only one opportunity to wipe his slate clean. Indebted to the wrong people, with his life on the line, veteran of the U.S. ![]()
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![]() It helps understand the complexity of interactive communication processes. The Transactional Model is widely applicable in various communication contexts, including interpersonal communication, mass media, public speaking, business communication, and digital communication. Noise can impede effective communication. It can include physical noise (background sounds), semantic noise (language barriers), psychological noise (prejudices), or physiological noise (health issues). Noise refers to any interference or factors that disrupt or distort the communication process. Feedback helps in clarifying, confirming, or adjusting the communication, making it interactive and dynamic. It represents the responses, reactions, or messages sent back by the receiver(s) to the sender. ![]() The receiver’s understanding can be influenced by their perception and context.įeedback is an essential component of the Transactional Model. They decode the message, interpret its meaning, and may provide feedback or responses. The receiver is the party or parties on the receiving end of the communication. The choice of channel impacts the message’s reception. They can include face-to-face conversations, written documents, emails, phone calls, video conferencing, or even non-verbal cues like body language. The effectiveness of the message depends on its clarity and how well it conveys the sender’s intent.Ĭhannels are the means or mediums through which communication occurs. It can take various forms, such as spoken words, written text, images, or non-verbal cues. The message represents the content of the communication. They encode their thoughts, ideas, or information into a message and use a chosen channel to transmit it to the receiver(s). The sender is the person or entity initiating the communication. Noise: Any interference or distortion that affects the message’s transmission or reception. Feedback: Responses and reactions from the receiver(s) that shape the ongoing communication.Ħ. Receiver: The party or parties receiving the message.ĥ. Channel: The medium or method used for communication.Ĥ. Message: The information, ideas, or thoughts being conveyed.ģ. Sender: The individual or entity initiating the communication.Ģ. The Transactional Model includes the following key elements:ġ. It considers communication as an ongoing, two-way process with feedback loops. The Transactional Model of Communication is a dynamic and interactive communication model that emphasizes the simultaneous exchange of information between a sender and a receiver. Dance’s helical model is another example, which suggests communication is continuous, dynamic, evolutionary, and non-linear. Barnlund’s model describes communication as a complex, multi-layered process where the feedback from the sender becomes the message for the receiver. The transactional model of communication is best exemplified by two models. The transactional model of communication describes communication as a two-way, interactive process within social, relational, and cultural contexts. Digital Business Models Podcast by FourWeekMBA.Business Strategy Book Bundle By FourWeekMBA. ![]() An Entire MBA In Four Weeks By FourWeekMBA.100+ Business Models Book By FourWeekMBA. ![]() ![]() ![]() Stardoll was developed with an emphasis on self-expression through fantasy and fashion. Stardoll appeals to a wide cross section of users, but their core membership consists of boys and girls from the ages of 13 and upwards. Stardoll is a virtual community site for people who enjoys fame, fashion and friends.Īt Stardoll, players can create their own virtual doll or choose from a collection of celebrity dolls and dress them up in various styles of make up, clothing, and decor with a wide range of items available for purchase with in-game currency. Under new management, Stardoll AB changed its name to Glorious Games Group AB and has expanded its offerings to include Stardoll, mobile app Stardoll Stylista, and fashion retail and social networking app and website Clique. Miksche now serves the company as acting chairman of the board. "He knows everything about the gaming industry and was the first person to help me understand that Stardoll is a gaming company," said Mattias Miksche of Thomas Lindgren. Also in 2016, Mattias Miksche bought out his partner investors and placed Stardoll in the hands of gaming industry veteran, Thomas Lindgren. In May 2016, Stardoll celebrated its ten-year anniversary. Inspired by Stardoll avatars, "Stardoll by Barbie" dolls came packaged mirroring the signature Stardoll poses. The "Stardoll by Barbie" collection featured eight fashion dolls, based on four of the most popular virtual Stardoll stores in Starplaza. In November 2011, Stardoll teamed up with Mattel to release a Stardoll line of Barbie dolls. The game was incredibly successful and served as a starting place for some of Sweden's top tech industry performers, such as Spotify founder Daniel Ek and Lifesum co-founder Marcus Gners and Henrik Torstensson. In 2005, Stardoll was launched as a browser game under the guidance of CEO Mattias Miksche. In 2004, with the help of her son, she upgraded the site and called it Paperdoll Heaven. Her personal homepage rapidly became a popular destination for teens. ![]() Inspired by a childhood passion for paper dolls, Wrang started drawing dolls and accompanying wardrobes and taught herself web design. Stardoll first appeared as a personal website featuring paper dolls from Finnish creator and enthusiast, Liisa Wrang. įocusing on an audience that is often overlooked by the gaming industry, Stardoll is open to everyone but focuses on providing a place for teens and young women to express their creativity and manage their own virtual fashion world, engage in creative social activities with other players around the world, and participate in mini games and challenges. One of the world's largest online fashion communities, Stardoll has reached over 400 million users as of January 2016. Stardoll is a browser-based game from Glorious Games. Royalty Account (Membership for over 1 year) ![]() ![]() Scarecrows are variations of Ta-no-Kami, since they are expected to prevent bad spirits of animals and birds. Finally, they conduct the ceremony of thanking kami for a good harvest, The real ceremonies and their names differ from place to place, although dancing, eating a special dish or rice cakes, or visits to the community kami, and burning ceremonies are some of them. They also pray for the elimination of disasters or harmful insects. These include the ceremony of the beginning of a year, beginning of farming in early spring, the start of rice plant farming, rice plant transplantation (accepting kami at the start of transplantation, called Saori) (sending kami at the end is called Sanaburi) and harvest time. ![]() In Eastern Japan it is associated with the Ebisu faith, and in Western Japan it is associated with the Daikoku faith.įestivals or ceremonies Rice transplantation festival at Katori ShrineĪccording to their agricultural calendars, farmers observe kami ceremonies related to Ta-no-Kami in the spring and autumn. In the Chugoku and Shikoku areas, it is Sanbai Sama, in Setonaikai, it is the local kami. Generally speaking, in the Tohoku area of Japan, agriculture-related kami is Nougami (agriculture kami), in the Koshin area, it is Saku Gami, in the Kinki area, it is Tsukuri Gami, in the Tajima and Inaba areas, it is kami of 亥(i),(On the day of i, the fields are struck which is considered to give peace on the harvest ground). Of them, Toyouke Bimeno Kami was written also in Engishiki, and is considered to be a female kami. In the Japanese documents, Nihon Shoki and Kojiki, there were kami of rice plants, Ukano Mitama, Toyouke Bimeno Kami, and kami of corns, Ootoshino Kami. In Japan, there are agricultural deities or kamis. Ta-no-Kami in Kagoshima Prefecture and parts of Miyazaki Prefecture is unique farmers pray before Ta-no-Kami stone statues in their communities. Ta-no-Kami shares the kami of corn, the kami of water and the kami of defense, especially the kami of agriculture associated with mountain faith and veneration of the dead (faith in the sorei). Ta-no-Kami is also called Noushin (kami of agriculture) or kami of peasants. Ta-no-Kami ( 田の神) is a kami who is believed to observe the harvest of rice plants or to bring a good harvest, by Japanese farmers. ![]() ( June 2011) ( Learn how and when to remove this template message) ![]() Please help to improve this article by introducing more precise citations. This article includes a list of general references, but it lacks sufficient corresponding inline citations. ![]() ![]() ![]() If you are an applicant requesting a religious accommodation for the employment application or pre-hire process, please email the Equal Employment Opportunity Unit at our EEO page for more information on our EEO Unit and our complete EEO policy.ĬOVID-19 information for applicants (must read) Vaccination policyĬhicago Transit Authority requires all employees to be COVID-19 vaccinated. If you are offered employment, you must provide proof of full COVID-19 vaccination or proof that you are in the process of becoming fully vaccinated as part of the hiring process and as a condition of employment.Ī CTA human resources representative will request your proof of COVID-19 vaccination prior to your start date. Please note that the CTA may also validate your proof of vaccination as part of the employment verification process at a later date. If your proof of COVID-19 vaccination is found to be falsified or fraudulent (i.e. Please be certain to indicate the specific assistance you require. If you are an individual with a disability and you need an accommodation, please email us for assistance, or contact us by calling 31, option 6. We are proud to be an equal opportunity workplace and an affirmative action employer.Įmployment decisions at CTA are based on operational business needs, job requirements, and individual qualifications and prohibit discrimination based on race, color, sex (including sexual orientation, gender identity, and pregnancy), religion, national origin, age (40 or older), disability, and genetic information, as well as reprisal for protected activity. ![]() If you are smart, innovative and committed, then come as you are. The Chicago Transit Authority is a progressive and open-minded organization. CTA statutory service area and map (PDF) Exempt (non-bargained for) employees must live within the boundaries of the service area at the time of employment or within 6 months of beginning employment at CTA. Application status questions Find frequently asked questions and answers regarding job application status. Hiring initiatives We offer a variety of ongoing hiring initiatives and programs to start your career with the CTA. We keep the city moving Our employees are part of six major lines of business: Maintenance, Infrastructure, Administration, Operations, Law, and Technology. For more information on job postings and the hiring process, see our frequently asked questions.You can always check the status of your application.CTA will work with you to determine if an accommodation can be provided. If you require an accommodation in the application or hiring process, please contact prior to the submission of your application or upon notification of your actual test date. CTA will make reasonable accommodations for the known disabilities of otherwise qualified applicants for employment as well as its employees, unless undue hardship would result. ![]() The CTA complies with all federal and state laws forbidding discrimination and will attempt to provide a reasonable accommodation to otherwise qualified individuals to enable them to perform the essential functions of the job. Call 1-888-YOUR-CTA (1-88) and choose option 4 for Human Resources or e-mail Accommodations for applicants ![]() ![]() ![]() In traditional playing card decks, the king of hearts is one of four kings, representing the royal hierarchy in a deck of cards. The king of hearts tattoo is a popular design that holds deep meaning and symbolism for many people. Whether worn as a personal statement or as a tribute to someone else, this tattoo design is an enduring symbol of excellence and achievement. It can serve as a reminder of our own potential to lead and inspire others, and as a symbol of the strength and courage required to do so. Overall, the king of hearts tattoo carries a powerful message of leadership and authority. By getting a king of hearts tattoo, an individual can honor these individuals and express their gratitude for the inspiration they have provided. This may include family members, friends, mentors, or historical figures who have exhibited qualities of strength, wisdom, and vision. In addition to representing personal ambition and drive, the king of hearts tattoo can also serve as a tribute to those who have inspired us to become leaders in our own right. Read More: Question Mark Tattoo Meaning: Explore the Fascinating World of Body Art Symbolism It may represent a determination to take charge of one’s career or relationships, and to assert oneself as a leader in these areas. For some, getting a king of hearts tattoo may signify a desire to exert greater control over their own lives. This can be interpreted in a variety of ways, depending on the individual’s personal experiences and aspirations. As a king, the figure in the tattoo is seen as a symbol of authority and power. One of the key meanings associated with the king of hearts tattoo is that of leadership. In the context of tattoos, this image often represents qualities such as strength, courage, and confidence. As one of the four kings in a standard deck of playing cards, the king of hearts is depicted as a regal figure with a commanding presence. The king of hearts tattoo is a popular design that holds significant meaning for many people. Whether you’re looking to honor a special relationship or simply express your own emotions and personality, a King of Hearts tattoo can be a powerful and timeless choice. Overall, the King of Hearts tattoo is a versatile and meaningful design that can hold deep significance for those who choose to get it inked on their skin. Others may choose to incorporate additional imagery or text into the design, such as a banner with a special message or a crown to symbolize power and authority. Some people opt for a simple, minimalist design that showcases the heart symbol prominently. When choosing a King of Hearts tattoo design, you have many options to consider. Others may interpret the heart symbol as a representation of their own heart, reminding them to follow their passions and desires. For some, it may symbolize bravery, courage, or strength. ![]() The tattoo can serve as a beautiful and meaningful tribute to your loved one, showcasing your unwavering affection and commitment.Īdditionally, the King of Hearts tattoo can represent a variety of other emotions and meanings. If you’re considering getting a King of Hearts tattoo, it can be a great way to express your romantic side or commemorate a significant relationship. As one of the highest-ranking cards in a deck of playing cards, the King of Hearts is often associated with power, authority, and leadership. The heart symbol, in this context, represents more than just love – it also conveys passion, desire, and devotion. ![]() The King of Hearts tattoo is a popular design that features the heart symbol in the center of the playing card. As such, the king of hearts tattoo represents several qualities and symbols associated with this regal figure, including: Love and Romance The king of hearts is one of the four kings in a standard deck of playing cards, and it’s often considered the most powerful and important one. King of Hearts Tattoo Meaning: Unveiling the Secrets Since then, the king of hearts has been used as a symbol of valor, nobility, and generosity. According to the legend, Charlemagne was so impressed by the bravery and loyalty of one of his knights that he honored him by giving him the title of king of hearts. In many cultures, the king of hearts is associated with the legend of Charlemagne, the first Holy Roman Emperor. The king of hearts is one of the most iconic face cards, representing a powerful and loving personality. Each suit has three face cards, namely the king, queen, and jack. The deck consists of four suits, including hearts, diamonds, clubs, and spades. The origins of the king of hearts tattoo can be traced back to the traditional deck of playing cards. Historical Roots of the King of Hearts Tattoo Comparisons between King of Hearts Tattoo Designs.King of Hearts Tattoo Meaning: Unveiling the Secrets.Historical Roots of the King of Hearts Tattoo. ![]() ![]() Once we’ve received your Public Key, our server technicians can set you up with access to the server and talk you through how to connect. You can either save this using the relevant buttons in the window or copy and paste it from the first text box. Once you have your Public Key, this will need to be sent over to your server technician. You should NEVER share your Private Key, so keep it a secret! You will need to save the Private Key and keep that safe somewhere on your computer. Once the bar is filled you will be given the screen below. Step 3 – Save your Private Key, send your Public Key You will be asked to help with the randomness of the key by moving your mouse over the blank area, this will gradually fill the progress bar, so keep going until it’s completed. Once PuTTYGen is installed and running on your machine, open up the software and hit the Generate button as seen below: When the installer is up and running, go through the processes (you can keep clicking next) until it has been successfully installed. If so, open Windows Explorer by right clicking on the Windows logo in the bottom left corner and then selecting the file name from your downloads directory. For some older versions, you may have to do this manually. Once you have selected to download the installer, Windows 10 will automatically run the installer. There are lots of similar software out there, but we tend to recommend PuTTYGen for this.įirst of all, grab the download package for PuTTY from SSH.com here. The easiest way of gaining an SSH Key is to download some software that will generate the key for you. Skip video ads.So you have been to asked for your Public SSH Key? We are here with a quick guide into getting hold of one on your Windows PC or Laptop! Our guide is aimed for Windows 10, 8 and 7, however you will find installation is pretty much the same on other versions of Windows. Video preview with max resolution snapshots. Enjoy your videos without the banner overlay. ![]() Any unused portion of a free trial period, if offered, will be forfeited when the user purchases a subscription to that publication. No cancellation of the current subscription is allowed during active subscription period. Subscriptions may be managed by the user and auto-renewal may be turned off by going to the user's Account Settings after purchase. Account will be charged for renewal within 24-hours prior to the end of the current period, and identify the cost of the renewal. Subscription automatically renews unless auto-renew is turned off at least 24-hours before the end of the current period. For these upgrades, the following terms apply: Payment will be charged to iTunes Account at confirmation of purchase. iWebTV offers a variety of upgrades, some of which are subscription-based. The following TV brands have one or more products compatible with iWebTV - Sony, Sharp, Philips, TCL, Vestel, RCA, Vizio, Toshiba, Philips, Magnavox, Polaroid (look for "Roku Smart TV", "Chromecast buit-in", "Google Cast Ready"). We add support for video sites every day, and the most-often requested web sites get fast-tracked priority. Most video sites should work great, however if you are experiencing issues casting from your favorite site, send us a quick note from the app's menu > feedback. Excluding video formats not compatible with iOS (flash). iWebTV actually plays the video on your media player which results in a much higher quality picture than apps that mirror your screen. Some of the features above require in-app purchase. Skip Video Ads, go straight to the good stuff. Browse the web for more videos while casting. Full playback controls, from the app or from the lock screen after exiting the app. Advanced browser, supports multiple browser tabs, blocks or hides spammy popups, search from the URL bar etc.Set your own home page, bookmark web page or videos. ![]() Binge on TV show episodes - queue up many episodes and let them play uninterrupted. Video preview: up to 72 snapshots to instantly locate your favorite scenes. HD resolution supported (720p, 1080p and more). iWebTV works with Chromecast + Roku + Apple TV (4th Gen) + Fire TV, as well as smart TVs powered by Roku or Chromecast. Find online Movies, TV shows, live shows, and cast them to your TV. ![]() ![]() That is fine for novice users, but for some of us, we want to be able to access /Library. Modern Mac OS releases from Mac OS X 10.7 & OS X 10.8 onward default to hiding the users Library directory, this is probably to keep people from accidentally deleting or damaging files that are necessary for OS X Lion & Mountain Lion to function properly. Free Minecraft Download For Mac Os X 10.6.8 Free Minecraft Download Alpha Download Full Version Of Minecraft For Mac Minecraft Free Download Mac Os Download Minecraft. Can I play Daiblo2 on mac OSX 10.8.5? General Beta Bug Report (English) Beta Feedback (English) Beta Feedback (British English) Blogs (English) Blogs (English). Minecraft is a fun sandbox game where you explore lost worlds, kill monsters and uncover secrets. Recently, I learned that you would change the language of your enchantment table to english. (Mac OS X version: 10.8.5) I don't have a bin in my Minecraft folder So I have had Minecraft for 2 years now and it is at the 1.7.9 Update right now. Download Critter Crush For Mac 1.08 Cannot Download Silverlight For Mac Download WindowSplitter For Mac 9.0 Download Vivaldi For Mac How Do I Download Firefox For Mac Download Minecraft 1. You Will First Have To Go To macsales dot com & For $29.00 Buy Snow Leopard. The Mac App Store Is The Only Place You Can Buy Lion. ![]() Mac OS X Mountain Lion 10.8.5 Review Apple has now released the Mac OS X 10.8.5 Mountain Lion release after a long beta period. Scarica lultima versione di Minecraft Windows 10 Edition. ![]() Mac OS X Mountain Lion 10.8.5 is a very powerful and reliable operating system for your Macintosh computer with different enhancements and improvements. ![]() ![]() ![]() ![]() We see boats come and go every day and they’re packed, so that’s how we wanted to do our testing.”īack in December at the Carefree Boat Sales marina on Lake Lanier, Rothwell had a boat show’s worth of Premier pontoons in the water, including seven identical models with all four engine brands represented. “There are eight or more on board, a cooler, a tube and most of the time they even have the family dog. “We never see our boat club members going out for the day with just two people,” explained Rothwell. The owner also runs the Carefree Boat Club, which gives him a better perspective on how pontoons are really being used. Carefree Boat Sales heavily promotes and get the majority of its customers to “try before you buy,” which explains why they’ve been so successful. With that said, we have always known the top speed and fuel consumption will vary depending on the number of people we actually have on board, but how much does it vary? That’s a great question and it’s one we can now answer, thanks to Carefree Boat Sales Owner David Rothwell and his determination to get real answers.Īs the number one Premier Marine dealer in the country, Carefree Boat Sales has four locations ranging from Georgia to North Carolina and Florida, including the one Rothwell runs on Lake Lanier in Georgia at the Lazy Days Marina. This leads to the best results when getting test numbers and even at our own annual Shootout Boat Test, this is how we get our numbers. Plus the prop is usually geared towards getting the max speed on the run and not necessarily one you would use everyday on a loaded boat. Top speed runs are generally recorded with only two people in the boat, often with the Bimini top in the trailering position and rarely does the boat have more than a quarter’s worth of fuel in the tank. Have you ever taken delivery of a 40-mile-per-hour plus pontoon only to discover that with you and your 10 closest friends it falls short of this mark? Well before you go scream at the dealer who sold you the boat, you need to get a better understanding of how most testing is done. The top speed at wide open throttle is a key (and sometimes only) statistic when shopping, and that’s why so many engine techs spend countless hours at the helm each year recording data so we can satisfy that curiosity. Pontoon TV: A Premier Show in Georgia from Harris Media Services on Vimeo.Īs consumers we can’t help it: our curiosity gets the best of us whenever we’re comparing boats, as we simply need to know how fast they will go. ![]() ![]() In potentially unstable fractures treated non-operatively with cast application, it may be necessary to follow the patient weekly with serial x-rays to assess the position of the fracture, with cast removal at approximately 6 weeks depending on clinical and radiographic evidence of healing. This requires a detailed discussion with the patients and a shared decision-making. Patients were offered a choice of a weight bearing below knee cast a functional ankle brace or a regime of rest, ice, compression bandage and elevation. They reviewed 163 patients with stable ankle fractures over a period of 8 years. Hutchinson and Barrie suggested that the majority of ankle fractures seen in clinic are stable, are not likely to displace and do not require plaster casting to achieve union in a good position. Non-operative management includes immobilisation with plaster cast or boot, either weight-bearing or non-weight-bearing, for 6 weeks or functional management with controlled range of motion and combinations of non-weightbearing or weight-bearing may also be considered. ![]() The choice of conservative or surgical management depends on the patient and whether the fracture is ‘stable’ or ‘unstable’. Management of ankle fractures depends on accurate determination of the nature and severity of the injury. Plain radiographs will give the diagnosis in most cases although CT may be useful in understanding complex fracture patterns to map out fracture anatomy and for surgical planning. Patients should be treated according to BOA standards for trauma (BOAST). It can be distinguised from the SER or PER patterns through the display of of comminuted fracture of fibula which occurs with a bending force that spits out a butterfly fragment. Pronation-external rotation (PER 4 stages)įracture is proximal to the syndesmosis and may be as high as fibular neck (Maisonneuve) with associated syndesmotic injury.įracture is either at the level of above the level of the syndesmosis. The SER4 fracture has a medial component: either a medial malleolar fracture or a deltoid rupture, and may require surgery depending upon on reduction in a weight bearing position. Most common ankle fracture occuring at the level of the syndesmosis. The SER2 has no medial injury, is mechanically stable and do not require surgery. Supination-external rotation (SER 4 stages) Transverse fracture of the lateral malleolus inferior to the ankle joint (SA1) with classically vertical shear fracture of the medial malleolus (SA2). This is based on (1) the position of the foot at the time of injury and (2) the deforming force on the ankle. Subluxed or dislocated ankles will classically have the foot in a more anterior or externally rotated position than normal with tenting of the bone on the skin.Ĭlassification Danis-Weber Classificationī - Fracture at the level of the syndesmosisĬ - Fracture above the syndesmosis Lauge-Hansen Classification Patients typically present after an injury (although note neuropathic patients including diabetics may not recall one due if they are insensate) with pain, swelling and deformity. Isolated distal fibular or lateral malleolus fractures occur in two thirds of patients, bimalleolar fractures occur in a quarter and trimalleolar fractures in the remaining 7%. They have a bimodal age distribution with peaks in younger males and older females. They are the second most common fracture in adults (9%) after femoral neck fractures. The incidence of ankle fractures is ~180 fractures per 100,000 people in the population per year. ![]() ![]() Although pilon and talar body fractures are included in the ankle joint anatomically, they are considered distinct injuries in their own right and will be discussed elsewehere. Ankle fractures refer to fractures of the malleoli. ![]() |
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