Fleck sign (ankle)
Last revised by Mostafa Elfeky on 14 Jan 2023
Citation, DOI, disclosures and article data
Citation:
Deng F, Elfeky M, Bickle I, Fleck sign (ankle). Reference article, Radiopaedia.org (Accessed on 24 Apr 2024) https://doi.org/10.53347/rID-73950
Permalink:
rID:
73950
Article created:
29 Jan 2020,
Francis Deng ◉
Disclosures:
At the time the article was created Francis Deng had no recorded disclosures.
View Francis Deng's current disclosures
Last revised:
14 Jan 2023,
Mostafa Elfeky ◉
Disclosures:
At the time the article was last revised Mostafa Elfeky had no financial relationships to ineligible companies to disclose.
View Mostafa Elfeky's current disclosures
Revisions:
3 times, by
3 contributors -
see full revision history and disclosures
Synonyms:
- Lateral malleolar fleck sign
The fleck sign in the ankle refers to a cortical avulsion fracture of the distal fibula (lateral malleolus), indicating superior peroneal retinaculum injury. This fleck sign should raise the possibility of peroneal tendon subluxation or dislocation 1,2, which commonly accompanies intra-articular calcaneal fractures 3.
See also
References
- 1. Wong-Chung J, Tucker A, Lynch-Wong M, Gibson D, O'Longain DS. The lateral malleolar bony fleck classified by size and pathoanatomy: The IOFAS classification. (2018) Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons. 24 (4): 300-308. doi:10.1016/j.fas.2017.02.015 - Pubmed
- 2. Davda K, Malhotra K, O'Donnell P, Singh D, Cullen N. Peroneal tendon disorders. (2017) EFORT open reviews. 2 (6): 281-292. doi:10.1302/2058-5241.2.160047 - Pubmed
- 3. Mahmoud K, Mekhaimar MM, Alhammoud A. Prevalence of Peroneal Tendon Instability in Calcaneus Fractures: A Systematic Review and Meta-Analysis. (2018) The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. 57 (3): 572-578. doi:10.1053/j.jfas.2017.11.032 - Pubmed
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