Paratrooper fracture

Case contributed by Zemar Vajuhudeen


Came off a motorbike at high speed

Patient Data

Age: 35 years
Gender: Male

There is an undisplaced, vertically oriented fracture through the posterior lip of the distal left tibia ("posterior malleolus"), extending into the tibiotalar articulation.

A subtle avulsion fracture of the lateral process of the talus is additionally noted at the insertion site of the anterior tibiofibular ligament.

Case Discussion

Fractures of the 'posterior malleolus', or the posterior lip of the distal tibia, are also known as paratrooper fractures. They were associated with injuries sustained by military parachutists during World War II due to improper landing techniques.

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