Spiral tibial fracture with 90 degrees of rotation

Case contributed by Craig Hacking



Patient Data

Age: 55 years
Gender: Male

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.

Case Discussion

Uncommon to see such angulation in a fracture.

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