Maisonneuve fracture is the combination of a spiral fracture of the proximal fibula and unstable ankle injury which could manifest radiographically by widening of the ankle joint due to distal tibiofibular syndesmosis and/or deltoid ligament disruption, or fracture of the medial malleolus. It is caused by pronation external-rotation mechanism. It requires surgical fixation. 5
Ankle views may either show a fracture of the medial malleolus or widening of the ankle joint due to disruption of the distal tibiofibular syndesmosis (lateral talar shift) or deltoid ligament complex.
When these ankle injury types are seen, further imaging of the entire fibula is recommended to assess for an accompanying proximal fibular shaft fracture.
History and etymology
It is named after Jules Germain Francois Maisonneuve, French surgeon (1809-1897) 4.
- 1. Hunter TB, Peltier LF, Lund PJ. Radiologic history exhibit. Musculoskeletal eponyms: who are those guys? Radiographics. 20 (3): 819-36. Radiographics (full text) - Pubmed citation
- 2. Hanson JA, Fotoohi M, Wilson AJ. Maisonneuve fracture of the fibula: implications for imaging ankle injury. AJR Am J Roentgenol. 1999;173 (3): 702. AJR Am J Roentgenol (citation) - Pubmed citation
- 3. Forster BB, Lee JS, Kelly S et-al. Proximal tibiofibular joint: an often-forgotten cause of lateral knee pain. AJR Am J Roentgenol. 2007;188 (4): W359-66. doi:10.2214/AJR.06.0627 - Pubmed citation
- 4. Maisonneuve, J. G. (1840). Recherches sur la fracture du péroné. Paris. France: Loquin & Cie.
- 5. www.wheelessonline.com. Read relevant article. Accessed on 21/07/2016