Maisonneuve Fracture without Deltoid Ligament Disruption: A Rare Pattern of Injury

Abstract The Maisonneuve fracture is considered by many to be one of the most unstable ankle injuries. We report a rare injury involving fracture of the proximal fibula in association with a posterior malleolar fracture and disruption of the anterior-inferior tibiofibular ligament, without disruptio...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2010, Vol.49 (1), p.86.e11-86.e17
Main Authors: Charopoulos, Ioannis, MD, Kokoroghiannis, Constantinos, MD, PhD, Karagiannis, Spyridon, MD, Lyritis, George P., MD, PhD, Papaioannou, Nikolaos, MD, PhD
Format: Article
Language:English
Subjects:
Aged
ankle
Ankle Injuries - diagnosis
Ankle Injuries - therapy
Casts, Surgical
fibula
Fibula - injuries
Fibula - pathology
Fractures, Bone - diagnosis
Fractures, Bone - therapy
Humans
Immobilization
Ligaments, Articular - injuries
Ligaments, Articular - pathology
Magnetic Resonance Imaging
Male
malleolus
Orthopedics
Rupture
syndesmosis
tibia
trauma
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Summary:Abstract The Maisonneuve fracture is considered by many to be one of the most unstable ankle injuries. We report a rare injury involving fracture of the proximal fibula in association with a posterior malleolar fracture and disruption of the anterior-inferior tibiofibular ligament, without disruption of the deltoid ligament or fracture of the medial malleolus. This report of a diagnostically challenging case highlights the importance of timely clinical and radiographic reassessment of a patient who fails to improve with initial therapy, and describes the clinical and diagnostic imaging findings of an unusual ankle injury.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2009.10.001