Trimalleolar ankle fracture

Case contributed by Dr Bruno Di Muzio

Presentation

Mechanical fall, extensive edema and pain in the right ankle.

Patient Data

Age: 50 years
Gender: Female

Ankle radiographs

x_ray

Displaced trimalleolar fracture of the ankle: distal fibula, "posterior" and medial tibial malleolus.

CT Ankle

ct

Post reduction CT images demonstrate again the fractures through the medial malleolus, the posterior aspect of the tibial plafond (referred to as the posterior malleolus) and the lateral malleolus.

Case Discussion

Unstable fracture of the ankle involving the medial malleolus, the posterior aspect of the tibial plafond (referred to as the posterior malleolus) and the lateral malleolus.

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