Syndesmotic injury

Case contributed by RMH Core Conditions


Inversion injury.

Patient Data

Age: 43
Gender: Male

Lateral talar shift. No definite fracture identified. Incidental os trigonum


There is a spiral fracture of the neck of the fibula without significant displacement. Ankle imaging shows lateral talar shift indicating disruption of the deltoid ligament.

These findings in combination with the fibular fracture indicate extensive tibio-fibula syndesmotic injury



There are 2 diastasis screws across the distal tibiofibular joint.

Alignment of the mortice is now anatomical.

Case Discussion

This injury pattern is known by the eponymous name - Maisonneuve fracture. 

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Case information

rID: 29223
Published: 12th May 2014
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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