Fleck sign (ankle)
Citation, DOI, disclosures and article data
Citation:
Deng F, Campos A, Elfeky M, et al. Fleck sign (ankle). Reference article, Radiopaedia.org (Accessed on 29 Mar 2025) https://doi.org/10.53347/rID-73950
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rID:
73950
Article created:
Disclosures:
At the time the article was created Francis Deng had no recorded disclosures.
View Francis Deng's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Arlene Campos had no financial relationships to ineligible companies to disclose.
View Arlene Campos's current disclosures
Revisions:
4 times, by
4 contributors -
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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 D. The Lateral Malleolar Bony Fleck Classified by Size and Pathoanatomy: The IOFAS Classification. Foot Ankle Surg. 2018;24(4):300-8. doi:10.1016/j.fas.2017.02.015 - Pubmed
- 2. Davda K, Malhotra K, O'Donnell P, Singh D, Cullen N. Peroneal Tendon Disorders. EFORT Open Rev. 2017;2(6):281-92. 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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