Maisonneuve fracture

Case contributed by RMH Core Conditions

Presentation

Slip down stairs

Patient Data

Age: 30
Gender: Female
Modality: X-ray

Alignment of the ankle mortise is disrupted, with lateral talar shift. There is widening of the tibiofibular syndesmosis. No fracture detected.

Modality: X-ray

Lateral talar shift is again demonstrated, with the widened medial aspect of the tibiotalar joint measuring 5.5 mm. There is a minimally displaced oblique fracture through the proximal fibular shaft. The findings are in keeping with a Maisonneuve fracture. 

Modality: X-ray

Two syndesmosis screws noted. Alignment is satisfactory. Anterior displacement of the distal fragment of the proximal fibular shaft is slightly more anteriorly displaced than previously.

Case Discussion

Excerpt from the Maisonneuve fracture article:

Maisonneuve fracture is an unstable fracture typically involving the medial tibial malleolus and/or disruption of the distal tibiofibular syndesmosis along with a fracture of the proximal fibula shaft. The deltoid ligaments can be frequently disrupted.

PlayAdd to Share

Case Information

rID: 29088
Case created: 2nd May 2014
Last edited: 10th Mar 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.