Spiral tibial fracture with 90 degrees of rotation
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Spiral fracture of the distal tibial shaft with 90 degrees of lateral angulation (so the lateral projection of the leg has the ankle appearing as a frontal projection).
Spiral proximal fibular shaft fracture with mild lateral displacement, in keeping with a Maisonneuve fracture.
Ankle syndesmosis is not widened.
Uncommon to see such angulation in a fracture.